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

Mary Ashley Manetta, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1720837834

Mary Ashley Manetta, PHYSICIANASSISTANT is a Physician Assistant in Patchogue, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

101 Hospital Rd
Patchogue, NY 11772-4870
Phone: (631) 654-7100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1220880 (NY)

Record details

NPI number1720837834
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMay 13, 2024
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024

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