Individual
MARISSA FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
222 PARK DR, VALLEY STREAM, NY 11580-2142
(516) 680-5245
Mailing address
222 PARK DR, VALLEY STREAM, NY 11580-2142
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
282940
NY
Other
Enumeration date
03/19/2013
Last updated
06/22/2016
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