Mary Ellen Cassidy, PA
Physician Assistant in Great Neck, NY. Individual provider (NPI-1).
NPI number1114101615
StatusActive
Last updated in NPPESNov 12, 2009
Details
- NPI
- 1114101615
- Entity type
- Individual (NPI-1)
- Name
- Mary Ellen Cassidy
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 20, 2007
- Last updated
- Nov 12, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 002298 | NY | Yes |
Practice location
935 Northern BlvdSuite 300
Great Neck, NY 11021-5316
Phone 516-466-9062 · Fax 516-466-9081
Mailing address
68 S Service RdSuite 350
Melville, NY 11747-2354
Phone 516-945-3000 · Fax 516-945-3131
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All 65 Physician Assistant providers in Great Neck · All 3,221 providers in Great Neck
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