# MARISSA RESNICK, MS, ED, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700313947
- **Authorized official:** MARISSA NICOLE RESNICK (SPECIAL EDUCATION TEACHER)
- **Authorized official phone:** (516) 830-1721

## Contact information

- **Practice address:** 2 OTSEGO PL, JERICHO, NY 11753-1406
- **Practice address phone:** (516) 830-1721
- **Mailing address:** 2 OTSEGO PL, JERICHO, NY 11753-1406
- **Mailing address phone:** (516) 830-1721

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/18/2017
- **Last updated:** 07/21/2022