Provider Demographics
NPI:1417986993
Name:HOWE, MARIESA H (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIESA
Middle Name:H
Last Name:HOWE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIESA
Other - Middle Name:ANNE
Other - Last Name:HALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:23 ONTARIO ST
Mailing Address - Street 2:
Mailing Address - City:HONEOYE FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14472-1149
Mailing Address - Country:US
Mailing Address - Phone:585-624-2121
Mailing Address - Fax:585-624-7283
Practice Address - Street 1:23 ONTARIO ST
Practice Address - Street 2:
Practice Address - City:HONEOYE FALLS
Practice Address - State:NY
Practice Address - Zip Code:14472-1149
Practice Address - Country:US
Practice Address - Phone:585-624-2121
Practice Address - Fax:585-624-7283
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY227811207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5995896OtherGHI
NY7432535OtherAETNA
NY2278411-7WOtherWORKERS COMPENSATION
NYMDJ219OtherPREFERRED CARE
NYP010227811OtherBLUE CHOICE
NYP020227811OtherBC/BS
NY7432535OtherAETNA
NYMDJ219OtherPREFERRED CARE