Individual
DR. MARISSA T AYASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6 MEDICAL DR STE D, PORT JEFFERSON STATION, NY 11776-1594
(631) 928-7922
Mailing address
6 MEDICAL DR STE D, PORT JEFFERSON STATION, NY 11776-1594
(631) 928-7922
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
334232
NY
Other
Enumeration date
05/10/2021
Last updated
03/18/2026
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