Theofanides, Marissa Christina

Theofanides, Marissa Christina is an individual health care provider with primary practice located at 2 Centerock Rd , West Nyack NY 10994-2215. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Theofanides, Marissa Christina can be contacted via phone (845) 703-6999.

Contact Information

Primary practice address
2 Centerock Rd West Nyack NY 10994-2215
Fax: (845) 703-6297
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 290620 New York

Profile Details

NPI number 1306119920
LBN Legal business name Theofanides, Marissa Christina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2012
Last updated Oct 16th, 2020 - about 4 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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