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Individual

MRS. MARISA LEIGH BOYLE-PASCUCCI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.,CCC-A

Contact information

Practice address
140 LOCKWOOD AVE STE 202, SUITE 202, NEW ROCHELLE, NY 10801-4908
(914) 576-6150
(914) 576-6037
Mailing address
140 LOCKWOOD AVE STE 202, SUITE 202, NEW ROCHELLE, NY 10801-4908
(914) 576-6150
(914) 576-6037

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
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