Marissa Boscia-Wittekind's National Provider Identifier (NPI) Details
Marissa Boscia-Wittekind, LMHC, CASAC
NPI: 1730695149
Enumeration Date: 2017-12-20
Last updated: 2017-12-20
Sole Proprietor: NO
Status: active
Postal Address: 11 FARBER DR STE D, BELLPORT, NY
Phone:
Primary Practice Address: 11 FARBER DR STE D, BELLPORT, NY
Practice's phone: 631-286-0700