DR. Marissa Christina Theofanides, MD

NPI #1306119920 in West Nyack, New York

Provider Information

NPI Number: 1306119920
Entity Type: Individual
Name: DR. Marissa Christina Theofanides, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: MD
Enumeration Date: Feb 13, 2012
Last Updated: Oct 16, 2020

Practice Location

Address: 2 CENTEROCK RD
City: West Nyack
State: New York
ZIP Code: 10994-2215
Phone: (845) 703-6999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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