Individual provider · Type 1 NPI
Marissa Paige Macdonald, PA-C
Medical Physician Assistant · Lake View, NY
NPI number
1962397331
Active
Practice location
6496 Hackberry Dr
Lake View, NY 14085-9578
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
About NPI 1962397331
Marissa Paige Macdonald, PA-C's National Provider Identifier is 1962397331, issued on Jun 9, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lake View, NY. The record was last updated on Jun 9, 2025.