Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Marissa Ann Buccellato, PA-C

Individual provider Physician Assistant · NPI 1649756438

MS. Marissa Ann Buccellato, PA-C is a Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

170 William St
New York, NY 10038
Phone: (212) 312-5000
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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 22452 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 022452 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1649756438
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 14, 2018
Last updated in NPPESAugust 3, 2018

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