Marisa J. Roach is a Medical in Rochester, New York. Marisa J. Roach practices all healthcare services and medical treatments related to Medical. The NPI Number for Marisa J. Roach is 1275794083. The last update date is 2015-11-04.
Marisa J. Roach's current location address is 1555 Long Pond Rd, Rochester, New York. You can contact this provider via phone number 5857237070 and fax number 5857237083. The mailing address for Marisa J. Roach is 1555 Long Pond Rd, Rochester, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marisa J. Roach |
|---|---|
| Address | 1555 Long Pond Rd, Rochester, New York |
| Phone Number | 5857237070 |
| Fax Number | 5857237083 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1275794083 |
|---|---|
| Provider Enumeration Date | 2008-06-24 |
| Last Updated Date | 2015-11-04 |
Provider Mailing Address Detail
| Address | 1555 Long Pond Rd |
|---|---|
| City | Rochester |
| State | New York (NY) |
| Post Code | 146264122 |
| Phone Number | 5857237070 |
| Fax Number | 5857237083 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 12611 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01518713 | NY | MEDICARE RR | |
| 3034177 | NY | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Marisa J. Roach by the Centers for Medicare & Medicaid Services?
The Marisa J. Roach has been issued the NPI (National Provider Identifier) 1275794083. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Marisa J. Roach's facilities are situated?
The facilities of Marisa J. Roach are physically located at the following address: 1555 Long Pond Rd, Rochester, NY, 146264122.
What is Marisa J. Roach's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Marisa J. Roach's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
When did the Marisa J. Roach receive its 1275794083?
The Marisa J. Roach was issued its 1275794083 on 2008-06-24, which is the date when the organization was assigned this unique identifier.
As of what date were the Marisa J. Roach's details last updated?
The information pertaining to the Marisa J. Roach, including its address, specialty, and other details, was most recently updated on 2015-11-04.