Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marianne L Grandusky, PA

Individual provider Medical Physician Assistant · NPI 1225093289

Marianne L Grandusky, PA is a Medical Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

177 Fort Washington Ave Mhb 6GN 435
New York, NY 10032-3733
Phone: (212) 305-8932
Fax: (212) 305-3035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0075321 (NY)

Record details

NPI number1225093289
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 20, 2006
Last updated in NPPESMay 12, 2016

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