Individual provider · Type 1 NPI

Marisa Wall

Physician Assistant · New York, NY

NPI number 1811779481 Active

Practice location

353 E 68th St
New York, NY 10065-5606

Call (347) 798-8620 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X031472 (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 1811779481

Marisa Wall's National Provider Identifier is 1811779481, issued on Oct 18, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New York, NY. The record was last updated on Oct 1, 2026.