Provider Demographics
NPI:1467802769
Name:MARSILIANI, RUTH SOFIA (BA,MS, FBPI)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:SOFIA
Last Name:MARSILIANI
Suffix:
Gender:F
Credentials:BA,MS, FBPI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 5TH AVE STE 1853-54
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10111-0100
Mailing Address - Country:US
Mailing Address - Phone:646-832-5833
Mailing Address - Fax:
Practice Address - Street 1:630 5TH AVE STE 1853-54
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10111-0100
Practice Address - Country:US
Practice Address - Phone:646-832-5833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-16
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
NY027013124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
Yes174400000XOther Service ProvidersSpecialist