Mary Ellen Cassidy, PA Valid NPI
Individual provider · Physician Assistant · Great Neck, NY
- NPI
- 1114101615
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 002298 (NY)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-12-20
- Last updated
- 2009-11-12
Practice location
935 Northern Blvd, Suite 300
Great Neck, NY 11021-5316
(516) 466-9062