| Marissa Fox, MD | |
|
222 Park Dr, Valley Stream, NY 11580-2142 | |
| (516) 680-5245 | |
| Not Available |
| Full Name | Marissa Fox |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 222 Park Dr, Valley Stream, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275875148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 282940 (New York) | Primary |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Fox, MD 222 Park Dr, Valley Stream, NY 11580-2142 Ph: () - | Marissa Fox, MD 222 Park Dr, Valley Stream, NY 11580-2142 Ph: (516) 680-5245 |
Lisa Diep, R.N. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13 Cleveland St, Valley Stream, NY 11580 Phone: 516-823-0739 | |
Howard W Isenberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 260 West Sunrise Highway, Suite 200, Valley Stream, NY 11581 Phone: 516-825-3600 Fax: 516-823-2051 | |
Dr. Jason Aaron Waterman, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 260 W Sunrise Hwy Ste 200, Valley Stream, NY 11581 Phone: 516-825-3600 Fax: 516-823-2051 | |
Dr. Lawrence S. Fink, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Franklin Ave, Ste 203, Valley Stream, NY 11580 Phone: 516-561-2720 Fax: 516-561-1493 | |
Dr. Carl L Barberis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 260 W Sunrise Hwy, Valley Stream, NY 11581 Phone: 516-825-3600 Fax: 516-872-5137 | |
Jogesh Syalee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 260 W. Sunrise Hwy, Ste. 200, Valley Stream, NY 11581 Phone: 516-825-3600 Fax: 516-872-5137 |