Individual
MARISA VIETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1421 3RD AVE APT 4, NEW YORK, NY 10028-1933
(212) 792-3900
Mailing address
250 W 99TH ST APT 3B, NEW YORK, NY 10025-5442
(516) 640-7468
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002596
NY
231H00000X
Audiologist
41YA00092300
NJ
Other
Enumeration date
05/23/2017
Last updated
03/17/2018
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