Provider Demographics
NPI:1619623816
Name:MARISSA FURNARI SLP PLLC
Entity Type:Organization
Organization Name:MARISSA FURNARI SLP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MARISSA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FURNARI
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:631-375-7860
Mailing Address - Street 1:280 BRONXVILLE RD APT 2X
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-2852
Mailing Address - Country:US
Mailing Address - Phone:631-375-7860
Mailing Address - Fax:
Practice Address - Street 1:280 BRONXVILLE RD APT 2X
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-2852
Practice Address - Country:US
Practice Address - Phone:631-375-7860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-25
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency