Individual
MARISSA MAE VANBODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
218 LUDDINGTON ST, SYRACUSE, NY 13206-3161
(315) 313-4326
Mailing address
218 LUDDINGTON ST, SYRACUSE, NY 13206-3161
(315) 313-4326
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
NY
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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