Individual provider · Type 1 NPI

Marissa Makuch

Specialist · Watertown, NY

NPI number 1770138752 Active

Practice location

21638 Reed Rd
Watertown, NY 13601-5048

Mailing address

9026 Corey Rd
Watertown, NY 13601-5851

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1770138752

Marissa Makuch's National Provider Identifier is 1770138752, issued on Aug 6, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Watertown, NY. The record was last updated on Aug 6, 2019.