National Provider Identifier

Marissa Rose Perillo, NP

Marissa Rose Perillo, NP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Rochester, NY and a listed phone number of (585) 275-2100.

NPI 1073995262Rochester, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1073995262
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
June 24, 2015
Last Updated
November 09, 2023

Practice Location

  • 601 Elmwood Ave
  • Box Hmd
  • Rochester, NY 14642-0001

Phone: (585) 275-2100

Mailing Address

  • 154 Colebourne RD
  • Rochester, NY 14609-6732

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)
Full Record
NPI
1073995262
Entity Type
Individual
Last Name
Perillo
First Name
Marissa
Middle Name
Rose
Credential
NP
Provider Other Last Name
Pasho
Provider Other First Name
Marissa
Provider Other Middle Name
Perillo
Provider Other Credential Text
NP
Provider Other Last Name Type Code
1
Mailing Street Address
154 Colebourne RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-6732
Mailing Country
US
Practice Street Address
601 Elmwood Ave
Practice Address Line 2
Box Hmd
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-2100
Enumeration Date
June 24, 2015
Last Updated
November 09, 2023
Sex
Female
Sole Proprietor
No
Certification Date
November 09, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X)