Individual provider · Type 1 NPI

Marissa Erickson, DDS

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1235872961 Active

Practice location

3332 Rochambeau Ave
Bronx, NY 10467-2836

Mailing address

5238 County Road 37
Hemlock, NY 14466-9616

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235872961

Marissa Erickson, DDS's National Provider Identifier is 1235872961, issued on Apr 20, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Apr 20, 2022.