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

Marissa Mae Vanboden

Individual provider Other Specialist/Technologist · NPI 1063353951

Marissa Mae Vanboden is an Other Specialist/Technologist in Syracuse, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

218 Luddington St
Syracuse, NY 13206-3161
Phone: (315) 313-4326
Show map & directions

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

Additional practice locations (1)

  • 218 Luddington St, Syracuse, NY 13206-3161 — (315) 313-4326

Specialties & licences

Other Specialist/Technologist (primary) Taxonomy 246Z00000X (NY)

Record details

NPI number1063353951
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 3, 2026
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026
Mailing address218 Luddington St, Syracuse, NY 13206-3161

Other providers in Syracuse