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

Individual provider Physician Assistant · NPI 1023420247

Marisa Dagostino, PA is a Physician Assistant in Latham, New York. Graduated from Albany Medical College of Union University in 2014, 12 years ago. Practices with Island Emergency Medical Services PC, a 139-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
12
Trained at
Albany Medical College of Union University
In the registry since
2014
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

1205 Troy Schenectady Rd Ste 101
Latham, NY 12110-1074
Phone: (518) 348-3176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2215 Burdett Ave, Troy, NY 12180-2466 — (518) 271-3300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1023420247
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 22, 2014
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2014 (12 years in practice)
Group practice Island Emergency Medical Services Pc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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