National Provider Identifier Database

MARISSA M VANBODEN
Specialist/Technologist, Other

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.


Contact Information

MARISSA M VANBODEN
218 LUDDINGTON ST
SYRACUSE, NY13206-3161
Phone: 315-313-4326
Fax:
Website:
Specialty Taxonomy Code
* Specialist/Technologist, Other 246Z00000X

* Indicates primary specialty

NPI Profile & details for MARISSA M VANBODEN

NPI Number 1063353951
Credentials
Entity Individual
Enumeration date 04/03/2026
Last updated 04/03/2026 - About 2 months ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

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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