Marissa Mccarron, PA
Physician Assistant in Islandia, NY. Individual provider (NPI-1).
NPI number1689804593
StatusActive
Last updated in NPPESMar 26, 2019
Details
- NPI
- 1689804593
- Entity type
- Individual (NPI-1)
- Name
- Marissa Mccarron
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2009
- Last updated
- Mar 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
3001 Expressway Dr N Ste 104Islandia, NY 11749-5301
Phone 631-435-0110
Mailing address
35 Perri CirMiddle Island, NY 11953-2660
Other practice locations
1743 N Ocean Ave
Medford, NY 11763-2649
Medford, NY 11763-2649
Phone 631-758-3100
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