Marissa Jodi Mcclintock, PA-C

NPI #1861470338 in Ithaca, New York

Provider Information

NPI Number: 1861470338
Entity Type: Individual
Name: Marissa Jodi Mcclintock, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 5, 2006
Last Updated: Oct 10, 2007

Practice Location

Address: 107 CAYUGA HEIGHTS RD
Address 2: APT 11
City: Ithaca
State: New York
ZIP Code: 14850-2152
Phone: (617) 990-4085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Surgical — Surgical	363AS0400X

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