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Marissa Vanboden

NPI 1063353951 · on the registry since 2026 · sole proprietor

Practice

Address
218 Luddington St
Syracuse, NY 13206
Phone
(315) 313-4326

Additional practice sites

  • 218 Luddington St, Syracuse, NY

Registry record

Primary taxonomy
246Z00000X
246Z00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York