Individual
MRS. MARISSA CRISTINA POVOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2 W MAIN STREET, BAYSHORE, NY 11706
(631) 813-1112
(631) 206-9200
Mailing address
21 ARGYLE DRIVE, EAST ISLIP, NY 11730
(631) 871-5552
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008625
NY
152W00000X
Optometrist
Primary
TUV-008625
NY
Other
Enumeration date
06/08/2017
Last updated
02/24/2026
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