Provider Demographics
NPI:1942322789
Name:MANASSY, NORINA A (PAC)
Entity Type:Individual
Prefix:MRS
First Name:NORINA
Middle Name:A
Last Name:MANASSY
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
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Mailing Address - Street 1:543 EASTON TPKE STE 105
Mailing Address - Street 2:
Mailing Address - City:LAKE ARIEL
Mailing Address - State:PA
Mailing Address - Zip Code:18436-4798
Mailing Address - Country:US
Mailing Address - Phone:570-689-9965
Mailing Address - Fax:570-689-0387
Practice Address - Street 1:543 EASTON TPKE STE 105
Practice Address - Street 2:
Practice Address - City:LAKE ARIEL
Practice Address - State:PA
Practice Address - Zip Code:18436-4798
Practice Address - Country:US
Practice Address - Phone:570-689-9965
Practice Address - Fax:570-689-0387
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA002231L363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical