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

MS. Mary C Noonan, RPA-C

Individual provider Physician Assistant · NPI 1538452149

MS. Mary C Noonan, RPA-C is a Physician Assistant in Port Washington, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

79 Avenue C
Port Washington, NY 11050-4210
Phone: (516) 439-6912
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0070781 (NY)

Record details

NPI number1538452149
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorYes
NPI enumeratedMay 16, 2011
Last updated in NPPESApril 26, 2016