Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marisa Brazak

Individual provider Occupational Therapist · NPI 1396405254

Marisa Brazak is an Occupational Therapist in Great Neck, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

475 Northern Blvd Ste 19
Great Neck, NY 11021-4802
Phone: (516) 829-0030
Fax: (516) 466-7723
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 026264 (NY)

Record details

NPI number1396405254
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 20, 2021
Last updated in NPPESDecember 20, 2021
Certification dateDecember 20, 2021
Mailing address475 Northern Blvd Ste 27, Great Neck, NY 11021-4802

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