National Provider Identifier
Marisa Kruse
Marisa Kruse 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) 546-7220.
Profile Overview
- NPI
- 1982263257
- Provider Type
- Individual
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- June 11, 2019
- Last Updated
- June 11, 2019
Practice Location
- 55 Troup St
- Rochester, NY 14608-2053
Phone: (585) 546-7220
Specialties
- Early Intervention Provider Agency (252Y00000X)
Full Record
- NPI
- 1982263257
- Entity Type
- Individual
- Last Name
- Kruse
- First Name
- Marisa
- Mailing Street Address
- 55 Troup St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14608-2053
- Mailing Country
- US
- Practice Street Address
- 55 Troup St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14608-2053
- Practice Country
- US
- Practice Phone
- (585) 546-7220
- Enumeration Date
- June 11, 2019
- Last Updated
- June 11, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Early Intervention Provider Agency (252Y00000X)