Individual provider · Type 1 NPI

Marissa Lynn Blau, PA

Physician Assistant · Melville, NY

NPI number 1396100582 Active

Practice location

510 Broadhollow Rd., Suite 100
Melville, NY 11747

Fax (631) 424-2963

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X019305 (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 1396100582

Marissa Lynn Blau, PA's National Provider Identifier is 1396100582, issued on Dec 15, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Melville, NY. The record was last updated on Sep 23, 2022.