Individual
MARISSA D DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-4017
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
015474
NY
363AS0400X
Surgical Physician Assistant
10004706A
IN
Other
Enumeration date
10/08/2009
Last updated
02/26/2025
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