MARISSA BLAINE

ROCKVILLE CENTRE, NY
NPI1568248854
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  030585)
Enumeration Date2023-09-04
Last Update Date2023-09-04
Business Address
MARISSA BLAINE PA
1000 N VILLAGE AVE
ROCKVILLE CENTRE, NY 11570-1000
Phone number: 516-705-2525
Mailing Address
MARISSA BLAINE PA
25 CUMBERLAND RD
JERICHO, NY 11753-2639
Phone number: 516-306-1801
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