Marisa Dagostino, PA

NPI #1023420247 in Latham, New York

Provider Information

NPI Number: 1023420247
Entity Type: Individual
Name: Marisa Dagostino, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 22, 2014
Last Updated: Oct 19, 2022

Practice Location

Address: 1205 TROY SCHENECTADY RD STE 101
City: Latham
State: New York
ZIP Code: 12110-1074
Phone: (518) 348-3176

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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