NPI 1689401663

Marissa Hendrickson

Practitioner Peer Specialist Riverhead, NY

Practice location

Address: 901 E Main St STE 508, Riverhead, NY 11901-2680
Phone: (631) 727-6220
Mailing address: 85 Diana Dr, Mastic Beach, NY 11951-6308

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1689401663
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Sep 2024
Record last updated: 16 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.