Individual provider · Type 1 NPI

Emily Kushnerov

Physician Assistant · North Haven, CT

NPI number 1063232445 Active

Practice location

370 Bassett Rd
North Haven, CT 06473-4201

Call (203) 582-7766 Map

Mailing address

27 Mccaffrey Ln
Boonton Township, NJ 07005-8807

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X25MP00892500 (NJ)

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 1063232445

Emily Kushnerov's National Provider Identifier is 1063232445, issued on Oct 11, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in North Haven, CT. The record was last updated on Aug 26, 2025.