Individual provider · Type 1 NPI

Marissa Dawn Yasgur, NP

Primary Care Nurse Practitioner · New York, NY

NPI number 1396367371 Active

Practice location

139 Centre St Ph 120
New York, NY 10013-4559

Call (888) 731-8994 Map

Other practice locations

  • 1 Gateway Ctr Ste 2600, Newark, NJ 07102-5323 · (888) 731-8994

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X26NJ00949100 (NJ)
Primary Care Nurse Practitioner Primary 363LP2300X345230 (NY)
Family Nurse Practitioner 363LF0000X345230 (NY)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1396367371

Marissa Dawn Yasgur, NP's National Provider Identifier is 1396367371, issued on May 12, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in New York, NY. The record was last updated on Jun 30, 2025.