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Individual
MS. MARISSA FORTE
Active
Individual
MS. MARISSA FORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
018563
NY
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
018563
NY
Other
Enumeration date
12/30/2014
Last updated
03/11/2019
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