Individual provider · Type 1 NPI

Marissa Lyann Carmine, PA -C

Physician Assistant · Wallkill, NY

NPI number 1467014472 Active

Practice location

24 Old Fire House Rd
Wallkill, NY 12589-4600

Fax (845) 393-6016

Mailing address

2570 Route 9W Ste 10
Cornwall, NY 12518-1370

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X023906 (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 1467014472

Marissa Lyann Carmine, PA -C's National Provider Identifier is 1467014472, issued on Jul 1, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wallkill, NY. The record was last updated on Aug 6, 2026.