MS. MARISSA ROSE BACON
NPI 1740788306
Specialist in Oswego, NY

Q: What is Marissa Bacon's NPI number?

The NPI number for Marissa Bacon is 1740788306. It was assigned to this individual provider in the NPPES registry on January 30, 2018.

Q: What is Marissa Bacon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Marissa Bacon was last updated on January 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.

Active since January 30, 2018

159 W 1ST ST, OSWEGO, NY 13126(315) 342-9575 Get Directions Write a Review

NPPES record last updated: January 30, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Marissa Rose Bacon NPPES

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

MS. MARISSA ROSE BACON (NPI 1740788306) is an individual specialist in Oswego, New York, licensed in New York (2535489) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1740788306

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMS. MARISSA ROSE BACON

Location Address159 W 1ST STOswego, NY 13126-2045

Mailing Address116 Main StHermon, NY 13652-3174 · (315) 528-9007

Phone(315) 342-9575

Sole ProprietorYes

Enumeration DateJanuary 30, 2018

✔ NPI 1740788306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 2535489

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

159 W 1ST ST, Oswego, NY 13126

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARET AYALA TSLD

Specialist/Technologist (Speech-Language Assistant)

159 W 1ST ST
OSWEGO, NY 13126

Oswego County (315) 326-3351

REHAB RESOURCES

Skilled Nursing Facility

159 W 1ST ST
OSWEGO, NY 13126

Oswego County (315) 326-3353

MS. MERCEDES LYNN FITZGERALD MASTERS OF SCIENCE

Specialist

159 W 1ST ST
OSWEGO, NY 13126

Oswego County (315) 342-9575

CLAIRE LOUISE GROSSO

Specialist

159 W 1ST ST
OSWEGO, NY 13126

Oswego County (315) 342-9575

KENNA BOYCE

Occupational Therapy Assistant

159 W 1ST ST
OSWEGO, NY 13126

Oswego County (315) 342-9575

CAMILLE PENSABENE

Specialist

159 W 1ST ST
OSWEGO, NY 13126

Oswego County (315) 342-9575

MISS CHRISTINA ANN MACHOLL

Specialist

159 W 1ST ST
OSWEGO, NY 13126

Oswego County (315) 342-9575

MARY ELLEN LEFEVRE

Specialist

159 W 1ST ST
OSWEGO, NY 13126

Oswego County (315) 342-9575

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 Bacon's NPI number?

The NPI number for Marissa Bacon is 1740788306. It was assigned to this individual provider in the NPPES registry on January 30, 2018.

Where is Marissa Bacon located?

Marissa Bacon practices at 159 W 1st St, Oswego, NY 13126. The listed phone number is (315) 342-9575.

What is Marissa Bacon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Marissa Bacon was last updated on January 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.