Provider Demographics
NPI:1215016183
Name:TRIMARCO, CASSANDRA LYNN (RPA-C)
Entity Type:Individual
Prefix:MISS
First Name:CASSANDRA
Middle Name:LYNN
Last Name:TRIMARCO
Suffix:
Gender:F
Credentials:RPA-C
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Mailing Address - Street 1:25432 84TH DR
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-1010
Mailing Address - Country:US
Mailing Address - Phone:718-343-5117
Mailing Address - Fax:516-977-9926
Practice Address - Street 1:190 E JERICHO TPKE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-2033
Practice Address - Country:US
Practice Address - Phone:516-977-9922
Practice Address - Fax:516-977-9926
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY10748363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical