Provider Demographics
NPI:1235314568
Name:ROCCI-ARMSTRONG, MARISSA N (PT)
Entity Type:Individual
Prefix:
First Name:MARISSA
Middle Name:N
Last Name:ROCCI-ARMSTRONG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MARISSA
Other - Middle Name:N
Other - Last Name:ROCCI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:600 FRENCH RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-1037
Mailing Address - Country:US
Mailing Address - Phone:315-266-0010
Mailing Address - Fax:315-266-0147
Practice Address - Street 1:600 FRENCH RD
Practice Address - Street 2:SUITE 1
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-1037
Practice Address - Country:US
Practice Address - Phone:315-266-0010
Practice Address - Fax:315-266-0147
Is Sole Proprietor?:No
Enumeration Date:2008-01-05
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029426-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRB7351Medicare PIN