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Organization

MARISSA ISRAEL, O.D., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARISSA BROOKE ISRAEL OD (OWNER)
(917) 806-3153
Entity
Organization

Contact information

Practice address
399 KEARNY AVE, KEARNY, NJ 07032-2603
(201) 991-0026
(201) 991-4989
Mailing address
399 KEARNY AVE, KEARNY, NJ 07032-2603
(201) 991-0026
(201) 991-4989

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
11/21/2023
Last updated
01/11/2024
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