Individual provider · Type 1 NPI

Marissa Nicole Mutzek, PA-C

Medical Physician Assistant · Middletown, NY

NPI number 1144768466 Active

Practice location

155 Crystal Run Rd
Middletown, NY 10941-4028

Fax (845) 703-6297

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XMA058716 (PA)
Medical Physician Assistant Primary 363AM0700X033601 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1144768466

Marissa Nicole Mutzek, PA-C's National Provider Identifier is 1144768466, issued on Feb 7, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Middletown, NY. The record was last updated on Apr 10, 2025.