National Provider Identifier

Marissa Gloria Levine, D.O.

Marissa Gloria Levine, D.O. is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician in Rochester, NY and a listed phone number of (585) 368-4000.

NPI 1396278214Rochester, NYObstetrics & Gynecology Physician

Profile Overview

NPI
1396278214
Provider Type
Individual
Primary Specialty
Obstetrics & Gynecology Physician
Enumeration Date
April 07, 2017
Last Updated
August 27, 2025

Practice Location

  • 2655 Ridgeway Ave Ste 180
  • Rochester, NY 14626-4296

Phone: (585) 368-4000

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Obstetrics & Gynecology Physician (207V00000X)
  • Obstetrics & Gynecology Physician (207V00000X)
Full Record
NPI
1396278214
Entity Type
Individual
Last Name
Levine
First Name
Marissa
Middle Name
Gloria
Name Prefix
Dr.
Credential
D.O.
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Practice Street Address
2655 Ridgeway Ave Ste 180
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-4296
Practice Country
US
Practice Phone
(585) 368-4000
Enumeration Date
April 07, 2017
Last Updated
August 27, 2025
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
August 27, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Obstetrics & Gynecology Physician (207V00000X), Obstetrics & Gynecology Physician (207V00000X)