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Contact Information

MARISA J CLIFFORD, DMD
139 N MAIN ST
CORTLAND, NY13045
 Phone: 607-753-0602
 Fax: 607-758-8737
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MARISA J CLIFFORD · (Female)

NPI Number 1124194998
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 11/25/2006
Last updated 07/22/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 052962-1
  • NY Medicaid 02784105
  • Other 201485764MD BCBS
Hospital affiliation(s) Not Available
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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