Individual provider · Type 1 NPI

Mary Ellen Cassidy, PA

Physician Assistant · Great Neck, NY

NPI number 1114101615 Active

Practice location

935 Northern Blvd, Suite 300
Great Neck, NY 11021-5316

Call (516) 466-9062 Map

Fax (516) 466-9081

Mailing address

68 S Service Rd, Suite 350
Melville, NY 11747-2354

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X002298 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1114101615

Mary Ellen Cassidy, PA's National Provider Identifier is 1114101615, issued on Dec 20, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Great Neck, NY. The record was last updated on Nov 12, 2009.