Individual
DR. MARISSA BROOKE ISRAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
399 KEARNY AVE, KEARNY, NJ 07032-2603
(201) 991-8826
Mailing address
26 BROADWAY, SUITE 908, NEW YORK, NY 10004-1703
(212) 425-2115
(212) 425-2636
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00604300
NJ
152W00000X
Optometrist
Primary
TUV007034
NY
Other
Enumeration date
08/03/2006
Last updated
02/22/2016
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