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MARISSA MAE VANBODEN
NPI 1063353951
Specialist/Technologist, Other in Syracuse, NY

Active since April 03, 2026
218 LUDDINGTON ST, SYRACUSE, NY 13206(315) 313-4326 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marissa Mae Vanboden NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA MAE VANBODEN (NPI 1063353951) is an individual specialist/technologist, other provider in Syracuse, New York and active in the NPI registry since April 2026. She maintains a secondary practice location in Syracuse.

NPPES Registry Identity

NPI1063353951
Entity TypeIndividualFemale
Primary Taxonomy246Z00000X
Provider Legal NameMARISSA MAE VANBODEN
Location Address218 LUDDINGTON STSyracuse, NY 13206-3161
Mailing Address218 Luddington StSyracuse, NY 13206-3161 · (315) 313-4326
Phone(315) 313-4326
Sole ProprietorYes
Enumeration DateApril 3, 2026
NPPES CertifiedApril 3, 2026
✔ NPI 1063353951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246Z00000X
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
218 LUDDINGTON ST, Syracuse, NY 13206
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Secondary Practice Location 1

Location 1218 Luddington StSyracuse, NY 13206-3161 · Phone (315) 313-4326

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Vanboden's NPI number?

The NPI number for Marissa Vanboden is 1063353951. It was assigned to this individual provider in the NPPES registry on April 3, 2026.

Where is Marissa Vanboden located?

Marissa Vanboden practices at 218 Luddington St, Syracuse, NY 13206. The listed phone number is (315) 313-4326.

What is Marissa Vanboden's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

When was this NPI record last updated?

The NPPES record for Marissa Vanboden was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.