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DR. MARISA SARA PRELACK M.D. NPI 1366705626


NPI Information

NPI: 1366705626
Provider Name: DR. MARISA SARA PRELACK, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: CHILDRENS HEALTH CARE ASSOCIATES INC

PECOS Registration: Yes

Address:
3401 CIVIC CENTER BLVD
DIVISION OF NEUROLOGY
PHILADELPHIA, PA
ZIP 19104
Phone: (267) 254-9919
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DR. Marisa Sara Prelack, M.D. is a neurology psychiatry neurology in Philadelphia, PA with 12 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Marisa Sara Prelack, M.D. NPI is 1366705626. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

3401 CIVIC CENTER BLVD
DIVISION OF NEUROLOGY
PHILADELPHIA, PA
ZIP 19104-319
Phone: (267) 254-9919

The NPI 1366705626 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/21/2012 and was last updated on 7/8/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsMT201266PENNSYLVANIANo
22084N0400XPsychiatry & NeurologyNeurologyMT201266PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.