Individual
MS. MARISA RANIRE MAGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1999 MARCUS AVE STE M6, LAKE SUCCESS, NY 11042
(516) 233-3780
(516) 233-3788
Mailing address
1999 MARCUS AVE STE M6, LAKE SUCCESS, NY 11042
(516) 233-3780
(516) 233-3788
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
245527-01
NY
208C00000X
Colon & Rectal Surgery Physician
245527
NY
Other
Enumeration date
04/18/2008
Last updated
02/10/2022
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