Individual
DR. MARLISSA FONDECHENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
199 MAIN ST STE 608, WHITE PLAINS, NY 10601
(845) 513-6805
Mailing address
17A MERRICK AVE, MERRICK, NY 11566-3585
(516) 987-4336
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
012676
NY
Other
Enumeration date
06/12/2015
Last updated
07/09/2018
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