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Contact Information

MARISSA R MATARRESE, MD
214 CORNELIA ST
#103
PLATTSBURGH, NY12901-2306
 Phone: 518-562-7771
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARISSA R MATARRESE · (Female)

NPI Number 1891816740
Status Active
Credentials MD
Entity Individual
Enumeration date 04/02/2007
Last updated 09/25/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • NY License # 268664
  • NY License # 268664-1
Hospital affiliation(s)
  • ADIRONDACK MEDICAL CENTER - (Acute Care)
    2233 STATE ROUTE 86
    SARANAC LAKE, NY 12983
  • CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR - (Acute Care)
    75 BEEKMAN STREET
    PLATTSBURGH, NY 12901
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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