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

Raisa Maruri, MSEDSPD

Individual provider Specialist · NPI 1356881049

Raisa Maruri, MSEDSPD is a Specialist in Bronx, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017

Practice location Address checks out

120 W 176th St 3B
Bronx, NY 10453-6713
Phone: (917) 645-8314
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 865097 (NY)

Record details

NPI number1356881049
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSEDSPD
Sole proprietorNo
NPI enumeratedMarch 1, 2017
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023
Mailing address120 W 176th St, Bronx, NY 10453-6713

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