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Marissa Davignon

NPI 1962160580 · on the registry since 2021

Practice

Address
75 Cloister Pl
Staten Island, NY 10306
Phone
(802) 989-5725

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-01-02

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