National Provider Identifier

Marissa A. Maclin, MD

Marissa A. Maclin, MD is listed in the NPPES registry with a primary specialty of Pain Medicine Physician in Williamsville, NY and a listed phone number of (716) 650-3000.

NPI 1619296902Williamsville, NYPain Medicine Physician

Profile Overview

NPI
1619296902
Provider Type
Individual
Primary Specialty
Pain Medicine Physician
Enumeration Date
May 26, 2010
Last Updated
November 05, 2021

Practice Location

  • Integrative Pain & Wellness
  • 1360 N. Forest RD. Suite 117
  • Williamsville, NY 14221

Phone: (716) 650-3000

Mailing Address

  • 89 Carpenter Ave
  • Buffalo, NY 14223-1706

Specialties

  • Pain Medicine Physician (208VP0000X)
  • Anesthesiology Physician (207L00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1619296902
Entity Type
Individual
Last Name
Maclin
First Name
Marissa
Middle Name
A.
Name Prefix
Dr.
Credential
MD
Mailing Street Address
89 Carpenter Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14223-1706
Mailing Country
US
Mailing Phone
(347) 432-6769
Practice Street Address
Integrative Pain & Wellness
Practice Address Line 2
1360 N. Forest RD. Suite 117
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221
Practice Country
US
Practice Phone
(716) 650-3000
Practice Fax
(716) 650-3090
Enumeration Date
May 26, 2010
Last Updated
November 05, 2021
Sex
Female
Sole Proprietor
No
Certification Date
November 05, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pain Medicine Physician (208VP0000X), Anesthesiology Physician (207L00000X), Student in an Organized Health Care Education/Training Program (390200000X)