Provider Information for 1871957209
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MARISSA KATZ BELLANI
Sex: Female
NPI: 1871957209
Last Updated: 2023-07-21
Certification Date: 2023-07-21
Certification Date: 2023-07-21
Details
| Name | Value | ||||||||||||||||||||||||||||||||
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| NPI | 1871957209 | ||||||||||||||||||||||||||||||||
| Enumeration Date | 2016-04-12 | ||||||||||||||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||||||||||||||||||
| Status | Active | ||||||||||||||||||||||||||||||||
| Mailing Address | 1221 KAPIOLANI BLVD PH 50 HONOLULU, HI 96814-3518 United States Phone: 808-260-9893 | Fax:808-748-0433 | ||||||||||||||||||||||||||||||||
| Primary Practice Address | 1221 KAPIOLANI BLVD PH 50 HONOLULU, HI 96814-3518 United States Phone: 808-260-9893 | Fax:808-748-0433 | ||||||||||||||||||||||||||||||||
| Secondary Practice Address(es) | 151 MYSTIC AVE | ||||||||||||||||||||||||||||||||
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