Jessica Marra
Specialist in New York, NY. Individual provider (NPI-1).
NPI number1356833859
StatusActive
Last updated in NPPESAug 30, 2020
Details
- NPI
- 1356833859
- Entity type
- Individual (NPI-1)
- Name
- Jessica Marra
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 31, 2018
- Certification date
- Aug 30, 2020
- Last updated
- Aug 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
116 W 32nd StNew York, NY 10001-3212
Phone 212-564-2350
Mailing address
116 W 32nd StNew York, NY 10001-3212
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