Dr MARISSA GROSSKOPF is a female medical professional, specializing in Physician Assistant. She graduated in 2009 from State University Of New York At Stony Brook, School Of Medicine.
HEALTHSOURCE MEDICAL SERVICES, PLLC
3001 EXPRESS DR N
SUITE 104
ISLANDIA
NY
117495301
Tel: 6314350110
| Npi | 1689804593 |
| Pac Id | 8123203056 |
| Professional Enrollment Id | I20110419000780 |
| Last Name | GROSSKOPF |
| First Name | MARISSA |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
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| Organization Legal Name | HEALTHSOURCE MEDICAL SERVICES, PLLC |
| Group Practice Pac Id | 1557495876 |
| Number Of Group Practice Members | 5 |
| Line 1 Street Address | 3001 EXPRESS DR N |
| Line 2 Street Address | SUITE 104 |
| Marker Of Address Line 2 Suppression | |
| City | ISLANDIA |
| State | NY |
| Zip Code | 117495301 |
| Phone Number | 6314350110 |
| Hospital Affiliation Ccn 1 | 330401 |
| Hospital Affiliation Lbn 1 | ST CATHERINE OF SIENA HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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