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Contact Information

MARISA IP, MD
70 GLEN COVE RD STE 301
ROSLYN HEIGHTS, NY11577-1731
 Phone: 516-621-1502
 Fax: 516-621-1162
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MARISA IP · (Female)

NPI Number 1710286448
Status Active
Credentials MD
Entity Individual
Enumeration date 03/21/2011
Last updated 09/26/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 269700-1
Hospital affiliation(s)
  • GLEN COVE HOSPITAL - (Acute Care)
    101 ST ANDREWS LANE
    GLEN COVE, NY 11542
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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