National Provider Identifier
Kristen Alyce Marks
Kristen Alyce Marks is listed in the NPPES registry with a primary specialty of Early Intervention Provider Agency in Rochester, NY and a listed phone number of (585) 313-8254.
Profile Overview
- NPI
- 1295359099
- Provider Type
- Individual
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- June 08, 2020
- Last Updated
- June 08, 2020
Practice Location
- 140 Brandy Brook Ln
- Rochester, NY 14612-3064
Phone: (585) 313-8254
Specialties
- Early Intervention Provider Agency (252Y00000X)
Full Record
- NPI
- 1295359099
- Entity Type
- Individual
- Last Name
- Marks
- First Name
- Kristen
- Middle Name
- Alyce
- Mailing Street Address
- 140 Brandy Brook Ln
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14612-3064
- Mailing Country
- US
- Practice Street Address
- 140 Brandy Brook Ln
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14612-3064
- Practice Country
- US
- Practice Phone
- (585) 313-8254
- Enumeration Date
- June 08, 2020
- Last Updated
- June 08, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- June 08, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Early Intervention Provider Agency (252Y00000X)