Individual provider · Type 1 NPI

Kenneth Ryan Mataragas, PA-C

Physician Assistant · Port Jefferson Station, NY

NPI number 1003326133 Active

Practice location

1500 NY-112 Building 6, Suite C
Port Jefferson Station, NY 11776

Call (631) 732-9090 Map

Mailing address

1500 NY-112, Building 6 Suite C
Port Jefferson Station, NY 11776

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1003326133

Kenneth Ryan Mataragas, PA-C's National Provider Identifier is 1003326133, issued on Oct 3, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jan 17, 2024.