Individual
MARISSA FELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
144 STANDART AVE, AUBURN, NY 13021-1508
(315) 255-1100
(315) 255-1322
Mailing address
4700 EXCHANGE CT STE 110, BOCA RATON, FL 33431-4450
(561) 948-0291
(561) 859-0429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
029481
NY
363AM0700X
Medical Physician Assistant
Primary
029481
NY
Other
Enumeration date
02/03/2022
Last updated
08/06/2026
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