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

Individual provider Specialist · NPI 1538415666

Marissa Elizabeth Gouskos, MSED is a Specialist in Ronkonkoma, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

478 Southport St
Ronkonkoma, NY 11779-6266
Phone: (516) 512-0591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 830936 (NY)

Record details

NPI number1538415666
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED
Sole proprietorYes
NPI enumeratedJuly 26, 2012
Last updated in NPPESJuly 26, 2012

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