Individual provider · Type 1 NPI

Marietta Busa, PA

Medical Physician Assistant · Massapequa, NY

NPI number 1609945617 Active

Practice location

727 Broadway
Massapequa, NY 11758

Call (516) 799-0210 Map

Mailing address

22 Mcalpin Ave
Albertson, NY 11507-1908

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X009628 (NY)

Medical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1609945617

Marietta Busa, PA's National Provider Identifier is 1609945617, issued on Nov 6, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Massapequa, NY. The record was last updated on Nov 1, 2026.