Individual
MARISA THYLSTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
25 BANK ST, 201-B, WHITE PLAINS, NY 10606-7000
(845) 628-0160
Mailing address
25 BANK ST, 201-B, WHITE PLAINS, NY 10606-7000
(845) 628-0160
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001839-1
NY
Other
Enumeration date
03/21/2008
Last updated
01/13/2009
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