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Search › New York › Sports Medicine (Family Medicine) Physician

Marisa Formica, MD

NPI 1568759041 · on the registry since 2011

Practice

Address
101 Saint Andrews Ln
Glen Cove, NY 11542
Phone
(516) 674-7631
Organisation at this address
Northwell Health
Glen Cove Hospital
Glen Cove Hospital
Glen Cove Faculty Medical Affiliates, University Faculty Practice Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
147

Registry record

Primary taxonomy
Sports Medicine (Family Medicine) Physician
207QS0010X
Also registered as
Family Medicine Physician
Student in an Organized Health Care Education/Training Program
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-16

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