Individual provider · Type 1 NPI

Maryann Dassah, AGACNP-BC

Acute Care Nurse Practitioner · New York, NY

NPI number 1578106910 Active

Practice location

525 East 68th Street, Baker 15
New York, NY 10065

Mailing address

80 Park Ave Apt 15P
New York, NY 10016-2547

Other practice locations

  • 80 Park Ave Apt 15P, New York, NY 10016-2547 · (646) 659-1658
  • 80 Park Ave, New York, NY 10016-2553 · (646) 659-1658
  • 5645 Main St, Flushing, NY 11355-5045 · (646) 659-1658

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XF431513 (NY)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1578106910

Maryann Dassah, AGACNP-BC's National Provider Identifier is 1578106910, issued on Oct 17, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in New York, NY. The record was last updated on Jan 30, 2020.