Provider Demographics
NPI:1023902384
Name:CALDERIO, MARISA MARIE (PROVISIONAL MFT)
Entity type:Individual
Prefix:
First Name:MARISA
Middle Name:MARIE
Last Name:CALDERIO
Suffix:
Gender:F
Credentials:PROVISIONAL MFT
Other - Prefix:
Other - First Name:MARISA
Other - Middle Name:MARIE
Other - Last Name:DILKES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:38 TIMBERLINE DR
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-3810
Mailing Address - Country:US
Mailing Address - Phone:973-767-3604
Mailing Address - Fax:
Practice Address - Street 1:2825 3RD AVE STE 402
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-4073
Practice Address - Country:US
Practice Address - Phone:718-360-0555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist