Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mirna M.j Labissiere, PA, MBA

Individual provider Physician Assistant · NPI 1508015967

Mirna M.j Labissiere, PA, MBA is a Physician Assistant in Rockville Centre, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

1000 N Village Ave
Rockville Centre, NY 11570-1000
Phone: (516) 705-2602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 004480 (NY)

Record details

NPI number1508015967
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA , MBA
Sole proprietorYes
NPI enumeratedSeptember 10, 2008
Last updated in NPPESNovember 17, 2015

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