Provider Demographics
NPI:1548237092
Name:LANGSETH, MARISSA TORRES (NP)
Entity Type:Individual
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First Name:MARISSA
Middle Name:TORRES
Last Name:LANGSETH
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Gender:F
Credentials:NP
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Mailing Address - Street 1:1 PENN PLZ
Mailing Address - Street 2:SUITE 725
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10119-0002
Mailing Address - Country:US
Mailing Address - Phone:917-570-9144
Mailing Address - Fax:212-216-6407
Practice Address - Street 1:1 PENN PLZ
Practice Address - Street 2:SUITE 725
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10119-0002
Practice Address - Country:US
Practice Address - Phone:917-570-9144
Practice Address - Fax:212-216-6407
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-03
Last Update Date:2015-01-29
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Provider Licenses
StateLicense IDTaxonomies
NY302535363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health