Marrero, Lisa Anne

Marrero, Lisa Anne is an individual health care provider with primary practice located at 16 Guion Pl , New Rochelle NY 10801-5503. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Marrero, Lisa Anne can be contacted via phone (914) 632-5000.

Contact Information

Primary practice address
16 Guion Pl New Rochelle NY 10801-5503
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 206871 New York

Profile Details

NPI number 1164482329
LBN Legal business name Marrero, Lisa Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Oct 10th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164482329 NPPES
New York MEDICAID 01783004

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