Individual
MS. PROSPERIDAD MARASIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
49 GREENWOOD RD, YONKERS, NY 10701-5220
(914) 774-3930
(914) 345-2665
Mailing address
49 GREENWOOD RD, YONKERS, NY 10701-5220
(914) 774-3930
(914) 345-2665
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
001413
CT
156FX1800X
Optician
Primary
006508
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001413
OPTICIAN
CT
01
—
006508
OPTICIAN
NY
Enumeration date
03/01/2007
Last updated
07/08/2007
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