Most Relevant Information
Provider Data
| NPI Number: | 1003322025 |
| Provider Name: | MARISSA ALTIMAR CNM |
| Entity Type: | Individual |
| Taxonomy Code: | 367A00000X |
| Specialty: | Advanced Practice Midwife |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/28/2017 |
| Last Updated: | 04/22/2019 |
Provider Practice Location
45 HUDSON AVE
GLENS FALLS
NY
128014313
Practice Location Phone/Fax
| Phone: | 5187934477 |
| Fax: | 5187935643 |
Provider Mailing Location
45 HUDSON AVE
GLENS FALLS
NY
128014313
Provider Mailing Phone/Fax
| Phone: | 5187934477 |
| Fax: | 5187935643 |