Individual
MARISA A D ANDREA
Active
Individual
MARISA A D ANDREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC LAC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
X006057
NY
171100000X
Acupuncturist
Primary
001436
NY
Other
Enumeration date
11/09/2006
Last updated
09/11/2025
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