Individual provider · Type 1 NPI

Athena Marie Bruzzano, PA-C

Physician Assistant · New York, NY

NPI number 1942856885 Active

Practice location

928 Broadway Ste 301
New York, NY 10010-8156

Mailing address

215 Beach 123rd St
Rockaway Park, NY 11694-1828

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X024502 (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 1942856885

Athena Marie Bruzzano, PA-C's National Provider Identifier is 1942856885, issued on Aug 15, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New York, NY. The record was last updated on Aug 5, 2025.