Individual provider · Type 1 NPI

Mary Shirley Desormes, PA

Physician Assistant · Jamaica, NY

NPI number 1063641009 Active

Practice location

82-68 164 Street, Queens Hospital Center
Jamaica, NY 11432

Call (718) 658-5480 Map

Mailing address

7207 Avalon Dr
Shelton, CT 06484-7618

Specialties and licenses

Taxonomy	Code	License
Physician Assistant	363A00000X	None listed
Physician Assistant Primary	363A00000X	008617-1 (NY)

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 1063641009

Mary Shirley Desormes, PA's National Provider Identifier is 1063641009, issued on Jul 13, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jamaica, NY. The record was last updated on Oct 1, 2018.