Individual provider · Type 1 NPI

Elizabeth Ontiveros, PA-C

Physician Assistant · Far Rockaway, NY

NPI number 1124431655 Active

Practice location

1612 Central Ave
Far Rockaway, NY 11691-4002

Mailing address

17002 Gleneagle Dr S Ste 101
Conroe, TX 77385-4614

Other practice locations

  • 25118 Grogans Mill Rd, The Woodlands, TX 77380-4346 · (346) 533-1838
  • 17002 Gleneagle Dr S, Conroe, TX 77385-4614 · (832) 447-7123

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA09672 (TX)
Physician Assistant Primary 363A00000X032314 (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…

8 other providers at this address

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About NPI 1124431655

Elizabeth Ontiveros, PA-C's National Provider Identifier is 1124431655, issued on Jun 2, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Far Rockaway, NY. The record was last updated on Aug 5, 2026.