Individual
MARYANNE REGINA CHRISANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(718) 920-4321
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
177066
NY
2080P0202X
Pediatric Cardiology Physician
ME107102
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002152100
—
FL
Enumeration date
07/28/2006
Last updated
12/09/2025
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