Individual
MS. JOANN MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.O., F.A.A.O.P
Contact information
Practice address
79 MIDDLEVILLE RD, PROSTHETIC DEPT. BLD. 200, 4TH FLOOR, NORTHPORT, NY 11768-2200
(631) 754-7936
(631) 754-7965
Mailing address
1659 LINCOLN AVE, BOHEMIA, NY 11716-1415
(631) 563-1881
(631) 563-7237
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Enumeration date
11/28/2006
Last updated
09/11/2025
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