Individual
MARISSA G EMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 W 190TH ST APT 4J, NEW YORK, NY 10040-2632
(203) 506-0878
Mailing address
711 W 190TH ST APT 4J, NEW YORK, NY 10040-2632
(203) 506-0878
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
001609
NY
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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