Mcclintock, Marissa Jodi

Mcclintock, Marissa Jodi is an individual health care provider with primary practice located at 107 Cayuga Heights Rd Apt 11, Ithaca NY 14850-2152. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Mcclintock, Marissa Jodi can be contacted via phone (617) 990-4085.

Contact Information

Primary practice address
107 Cayuga Heights Rd Apt 11 Ithaca NY 14850-2152
Phone: (617) 990-4085
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 011434 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1812 Massachusetts

Profile Details

NPI number 1861470338
LBN Legal business name Mcclintock, Marissa Jodi
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Oct 10th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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