Individual
MICHAEL ANTHONY INGRASSIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1057 COMMERCE AVE, UNION, NJ 07083-5025
(866) 467-1770
Mailing address
42 BARROW PL, STATEN ISLAND, NY 10309-1780
(347) 838-1537
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25M900935500
NJ
Other
Enumeration date
11/25/2024
Last updated
11/04/2025
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