Individual provider · Type 1 NPI

Marco Antonio Berrones Jr., PA

Surgical Physician Assistant · Plainview, NY

NPI number 1215017397 Active

Practice location

888 Old Country Rd
Plainview, NY 11803-4914

Mailing address

972 Brush Hollow Rd
Westbury, NY 11590-1740

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X008261-1 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1215017397

Marco Antonio Berrones Jr., PA's National Provider Identifier is 1215017397, issued on Oct 16, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Plainview, NY. The record was last updated on Jun 25, 2009.