National Provider Identifier
Marissa Dispenza
Marissa Dispenza is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Greece, NY and a listed phone number of (585) 880-5595.
Profile Overview
- NPI
- 1629443023
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- December 10, 2015
- Last Updated
- December 10, 2015
Practice Location
- 309 Hampton Blvd
- Greece, NY 14612-4238
Phone: (585) 880-5595
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1629443023
- Entity Type
- Individual
- Last Name
- Dispenza
- First Name
- Marissa
- Mailing Street Address
- 309 Hampton Blvd
- Mailing City
- Greece
- Mailing State
- NY
- Mailing ZIP Code
- 14612-4238
- Mailing Country
- US
- Mailing Phone
- (585) 880-5595
- Practice Street Address
- 309 Hampton Blvd
- Practice City
- Greece
- Practice State
- NY
- Practice ZIP Code
- 14612-4238
- Practice Country
- US
- Practice Phone
- (585) 880-5595
- Enumeration Date
- December 10, 2015
- Last Updated
- December 10, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)