Individual
MARISSA ROSE PERILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, BOX HMD, ROCHESTER, NY 14642-0001
(585) 275-2100
Mailing address
154 COLEBOURNE RD, ROCHESTER, NY 14609-6732
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307335
NY
Other
Enumeration date
06/24/2015
Last updated
11/09/2023
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