Individual provider · Type 1 NPI

Melanie Bissetta

Medical Physician Assistant · Manhasset, NY

NPI number 1255889200 Active

Practice location

300 Community Dr
Manhasset, NY 11030-3816

Mailing address

45 Lincoln Ave
Massapequa Park, NY 11762-2617

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X020102 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1255889200

Melanie Bissetta's National Provider Identifier is 1255889200, issued on Sep 20, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Manhasset, NY. The record was last updated on Sep 20, 2016.