Marisa Anne Imhof

NPI #1316472574 in Purchase, New York

Provider Information

NPI Number: 1316472574
Entity Type: Individual
Name: Marisa Anne Imhof
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Apr 25, 2017
Last Updated: Oct 17, 2018

Practice Location

Address: 2700 WESTCHESTER AVE
Address 2: SUITE 300
City: Purchase
State: New York
ZIP Code: 10577-2547
Phone: (914) 564-6879

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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