Page, Marissa

Page, Marissa is an individual health care provider with primary practice located at 6 Wellness Way Ste 106 , Latham NY 12110-2156. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Page, Marissa can be contacted via phone (518) 782-3899.

Contact Information

Primary practice address
6 Wellness Way Ste 106 Latham NY 12110-2156
Phone: (518) 782-3899
Fax: (518) 782-3884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F336183 New York

Profile Details

NPI number 1659691491
LBN Legal business name Page, Marissa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2010
Last updated Feb 13th, 2024 - about 9 months 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 1659691491 NPPES
New York MEDICAID 03273750

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