Provider Demographics
NPI:1326366337
Name:ORSHANSKAYA, MARISA A (NP-P)
Entity Type:Individual
Prefix:MS
First Name:MARISA
Middle Name:A
Last Name:ORSHANSKAYA
Suffix:
Gender:F
Credentials:NP-P
Other - Prefix:
Other - First Name:MARISA
Other - Middle Name:A
Other - Last Name:ORSHANSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:225 BROADWAY
Mailing Address - Street 2:#1605
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007
Mailing Address - Country:US
Mailing Address - Phone:917-693-4010
Mailing Address - Fax:212-693-4010
Practice Address - Street 1:225 BROADWAY
Practice Address - Street 2:#1605
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007
Practice Address - Country:US
Practice Address - Phone:917-693-4010
Practice Address - Fax:212-693-4010
Is Sole Proprietor?:No
Enumeration Date:2010-05-14
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY402063363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health