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Contact Information

MARISSA FLEURY, ATC, PA
664 STONELEIGH AVE SUITE 300
SOMERS ORTHOPEDIC
CARMEL, NY10512
 Phone: 845-278-8400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for MARISSA FLEURY · (Female)

NPI Number 1427380799
Status Active
Credentials ATC, PA
Entity Individual
Enumeration date 02/11/2010
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 020986
  • NY License # 67 001843
  • NY Other A400175968 MEDICARE PTAN
Hospital affiliation(s)
  • NORTHERN WESTCHESTER HOSPITAL - (Acute Care)
    400 EAST MAIN STREET
    MOUNT KISCO, NY 10549
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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