MARISSA LEANNE WALLACE


Address: 3078 Route 9w Ste 100, New Windsor, NY 12553-6751
Phone: (845) 561-3310

MARISSA LEANNE WALLACE (NPI# 1689932360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689932360
Entity Type Individual
Full Name MARISSA LEANNE WALLACE
Credential NP
Practice Address 3078 Route 9w Ste 100
New Windsor
NY 12553-6751
Mailing Address 3078 Route 9w
Suite 100
New Windsor
NY 12553
Practice Telephone (845) 561-3310
Practice Fax Number 8455618728
Mailing Telephone (845) 561-3310
Mailing Fax Number 8455618728
Enumeration Date 2012-05-01
Last Update Date 2017-07-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 653689-1 NY Nursing Service Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
F308236 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers MARISSA WALLACE

NPI Name Taxonomy Address Enumeration
1043857527 Marissa Steen Wallace Social Worker 4251 Kipling St Unit 560, Wheat Ridge, CO 80033-6800 2019-12-04

Office Location

Street Address 3078 ROUTE 9W STE 100
City NEW WINDSOR
State NY
Zip Code 12553-6751

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578080891 Trevon Solivan Licensed Practical Nurse 40 Cedar Lane Apt 2, New Windsor, NY 12553 2017-08-28
1336695097 Toni Casiano Licensed Practical Nurse 1204 Corporal Tremblay Way, New Windsor, NY 12553 2016-08-31
1952765729 Chelsea Burawa Speech-Language Pathologist Hudson Valley Speech and Swallowing Therapy, 815 Blooming Grove Turnpike, New Windsor, NY 12553 2016-04-07
1740656586 Juliana F Fiore Physical Therapist 219 Blooming Grove Turnpike, New Windsor, NY 12553 2015-08-17
1629472857 Maryellen Banker Social Worker 10 Kayleen Dr., Windsor Counseling Group, New Windsor, NY 12553 2014-10-17
1720488398 Stacey Browne Speech-Language Pathologist 119 Winding Brook Ct, New Windsor, NY 12553 2014-09-02
1154731404 Greenburgh - North Castle Ufsd/kaplan Career Academy Local Education Agency (LEA) 623 Blooming Grove Turnpike, New Windsor, NY 12553 2014-05-07
1427478114 Julie Taft Counselor 1124 Ny Route 94, Suite 201, New Windsor, NY 12553 2014-04-21
1699199158 Jessica G Veroline Social Worker 930 Raz Avenue, Arc of Orange County New Windsor Ple, New Windsor, NY 12553 2014-02-04
1316374762 Aggies Full Beauty Salon General Acute Care Hospital 420 State Route 32, Vails Gate, NY 12553 2013-10-01
Find all providers in zip 12553

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568002038 Kaitlyn Ellert Nurse Practitioner 92 Old Route 9w Ste 100, New Windsor, NY 12553-5485 2020-01-13
1053715862 Kathleen Power Beigh Nurse Practitioner 3078 Route 9w, New Windsor, NY 12553-6751 2014-10-22
1508122508 Kay Keise Nurse Practitioner 3141 Route 9w, Ste 100, New Windsor, NY 12553-6709 2012-04-04
1083902902 Patricia Ann Rainaldi Nurse Practitioner 575 Hudson Valley Ave, New Windsor, NY 12553-4747 2011-07-12
1811203045 Laura Woods Nurse Practitioner 3068 Route 9w Ste 200, New Windsor, NY 12553 2010-08-25
1164672127 Cynthia Maggio-silverman Nurse Practitioner 3078 Us Route 9w, New Windsor, NY 12553-6751 2008-09-26
1023272762 Sabrina N Stent Nurse Practitioner 575 Hudson Valley Ave, Suite 200, New Windsor, NY 12553-4747 2008-07-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104427871 Tammie Kae Copp Nurse Practitioner 8266 Casson Rd, Lindley, NY 14858-9697 2020-11-08
1770184673 Annette Virosami Nurse Practitioner 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 2020-11-06
1972104958 Jonathan Dillera Nietes Nurse Practitioner 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 2020-11-05
1407457088 Sanjana Kumari Nurse Practitioner 62 Albertson Pl, Mineola, NY 11501-4601 2020-11-02
1780284927 Hannah Catan Nurse Practitioner 473 W 158th St Apt 10, New York, NY 10032-5361 2020-10-27
1700486248 Amandeep Kaur Nurse Practitioner 7638 270th St, New Hyde Park, NY 11040-1418 2020-10-26
1861091324 Stacey M Jantsch Nurse Practitioner 8237 Cicero Mills Rd, Cicero, NY 13039-8344 2020-10-25
1871192468 Adult Health Np House Calls, PC Nurse Practitioner 7954 Transit Rd # 134, Williamsville, NY 14221-4117 2020-10-23
1104425891 Tze-hsuan Chao Nurse Practitioner 3916 Prince St Ste 257, Flushing, NY 11354-5367 2020-10-22
1992304968 Nicholas Robinson Nurse Practitioner 295 Essjay, Williamsville, NY 14221 2020-10-21
Find all providers with the same taxonomy

Competitor

Search similar providers

City NEW WINDSOR
Zip Code 12553

Improve Information

Please comment or provide details below to improve the information on MARISSA LEANNE WALLACE.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches