National Provider Identifier

Marissa Ruffolo

Marissa Ruffolo is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Cheektowaga, NY and a listed phone number of (716) 836-7200.

NPI 1659988756Cheektowaga, NYSpeech-Language Pathologist

Profile Overview

NPI
1659988756
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
September 23, 2020
Last Updated
September 15, 2022

Practice Location

  • 105 Mapleview RD
  • Cheektowaga, NY 14225-1524

Phone: (716) 836-7200

Mailing Address

  • 3 Windham Way Apt B
  • Amherst, NY 14228-2408

Specialties

  • Speech-Language Pathologist (235Z00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1659988756
Entity Type
Individual
Last Name
Ruffolo
First Name
Marissa
Mailing Street Address
3 Windham Way Apt B
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14228-2408
Mailing Country
US
Mailing Phone
(716) 343-3752
Practice Street Address
105 Mapleview RD
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-1524
Practice Country
US
Practice Phone
(716) 836-7200
Enumeration Date
September 23, 2020
Last Updated
September 15, 2022
Sex
Female
Sole Proprietor
No
Certification Date
September 15, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X), Student in an Organized Health Care Education/Training Program (390200000X)