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

Marissa Gonzalez

Individual provider Family Nurse Practitioner · NPI 1780461285

Marissa Gonzalez is a Family Nurse Practitioner in Lido Beach, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
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Practice location Address checks out

253 Fairway Rd
Lido Beach, NY 11561-4802
Phone: (516) 384-5149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 351300 (NY)

Record details

NPI number1780461285
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 11, 2023
Last updated in NPPESApril 28, 2024
Certification dateApril 28, 2024
Mailing address253 Fairway Rd, Lido Beach, NY 11561-4802

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