Most Relevant Information
Provider Data
| NPI Number: | 1003350869 |
| Provider Name: | MARISA MAIO CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 020396-1 |
Most Important Dates
| Enumeration Date: | 12/13/2016 |
| Last Updated: | 12/13/2016 |
Provider Practice Location
2703 WEBSTER AVE
BRONX
NY
104583705
Practice Location Phone/Fax
| Phone: | 7185844203 |
| Fax: |
Provider Mailing Location
2703 WEBSTER AVE
BRONX
NY
104583705
Provider Mailing Phone/Fax
| Phone: | 7185844203 |
| Fax: |