MRS. Marissa Lynn Blau, PA

NPI #1396100582 in Melville, New York

Provider Information

NPI Number
1396100582
Entity Type
Individual
Name
MRS. Marissa Lynn Blau, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Dec 15, 2015
Last Updated
Sep 23, 2022

Practice Location

Address
510 BROADHOLLOW RD.
Address 2
SUITE 100
ZIP Code
11747
Phone
(631) 424-3600

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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