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

MS. Marinique Dabissiere, PA

Individual provider Physician Assistant · NPI 1619022506

MS. Marinique Dabissiere, PA is a Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
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

130 E 77th St 9 Black Hall
New York, NY 10021-1851
Phone: (212) 434-2606
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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 010115 (NY)

Record details

NPI number1619022506
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 24, 2007
Last updated in NPPESJuly 8, 2007

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