DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARISSA JODI MCCLINTOCK, PA-C

Active

MARISSA JODI MCCLINTOCK, PA-C is a Physician Assistant healthcare provider located in ITHACA, New York. NPI 1861470338 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ITHACA, NY

Registration Details

NPI Number
1861470338
Provider Type
Individual
Gender
Female
NPI Issued
Jan 5, 2006 (20.564439418931 yrs)
Last Updated
Oct 10, 2007
Licenses
011434 (NY)
1812 (MA)

Practice Information

Address
107 CAYUGA HEIGHTS RD
APT 11
ITHACA, NY, 148502152
Browse NY providers · Browse ZIP 14850
Phone
6179904085
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Surgical Physician Assistant

Other Physician Assistant Providers in ITHACA, NY

Name Credential NPI
MR. GEORGE EUGENE CAMERON PAC 1417926692
DR. JOSEPH BLOOD PAC 1679501811
ELIZABETH MERCER PAC 1801820105
JULIE J HIGGINS PA 1073534590
MS. SUSAN CARLISLE RPA-C 1225042443
MS. JANE OLSEFSKI PA 1154439073
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.