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MARISA FORMICA, MD

MD

Sports Medicine (Family Medicine) Physician

NPI: 1568759041IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Medicine

Code: 207Q00000X

280850(NY)

Family Medicine — Sports Medicine

Code: 207QS0010X

280850(NY)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

CMS Specialties

PrimaryFAMILY PRACTICE

Education

OTHER

Class of 2009

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Contact & Hours

Address
101 SAINT ANDREWS LN, NSLIJ-GLEN COVE HOSPITAL
GLEN COVE, NY 11542

Quick Facts

NPI
1568759041
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
3
Locations
1
Years in Practice
17
Publications
20

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