Provider Demographics
NPI:1508163874
Name:MARCELL, VANESSA (MS, CGC)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:MARCELL
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:257 LAFAYETTE AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-4830
Mailing Address - Country:US
Mailing Address - Phone:845-357-0592
Mailing Address - Fax:845-357-0086
Practice Address - Street 1:20 GRAND ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:WARWICK
Practice Address - State:NY
Practice Address - Zip Code:10990-1035
Practice Address - Country:US
Practice Address - Phone:845-987-3952
Practice Address - Fax:845-987-5979
Is Sole Proprietor?:No
Enumeration Date:2011-02-22
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS