Individual
MARIAH RACHELLE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
33 W 42ND ST, NEW YORK, NY 10036-8005
(212) 938-4000
Mailing address
332 FRANKLIN AVE APT 2, BELLEVILLE, NJ 07109-1704
(813) 498-7387
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009408
NY
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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