Individual provider · Type 1 NPI

Marissa T. Ayasse, MD

Dermatology Physician · Port Jefferson Station, NY

NPI number 1992389480 Active

Practice location

6 Medical Dr Ste D
Port Jefferson Station, NY 11776-1594

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X334232 (NY)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1992389480

Marissa T. Ayasse, MD's National Provider Identifier is 1992389480, issued on May 10, 2021. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Mar 18, 2026.