Provider Demographics
NPI:1649430034
Name:RAYMOND-FLESCH, MARISSA (MD)
Entity type:Individual
Prefix:DR
First Name:MARISSA
Middle Name:
Last Name:RAYMOND-FLESCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARISSA
Other - Middle Name:
Other - Last Name:RAYMOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1 GUSTAVE L LEVY PLACE BOX 1512
Mailing Address - Street 2:MOUNT SINAI SCHOOL OF MEDICINE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027
Mailing Address - Country:US
Mailing Address - Phone:212-241-6934
Mailing Address - Fax:212-241-4309
Practice Address - Street 1:1 GUSTAVE L LEVY PLACE BOX 1512
Practice Address - Street 2:MOUNT SINAI SCHOOL OF MEDICINE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027
Practice Address - Country:US
Practice Address - Phone:212-241-6934
Practice Address - Fax:212-241-4309
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program