Individual
MRS. MARISA LEIGH BOYLE-PASCUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.,CCC-A
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
11713-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010654902
POMCO
NY
01
—
4899750
GHI
NY
01
—
6995139-003
CIGNA
NY
01
—
M7224
EMPIRE BCBS
NY
01
—
P2720619
OXFORD
NY
Enumeration date
01/08/2007
Last updated
07/08/2007
Update your record
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