Individual provider · Type 1 NPI

Ewelina Domanowski

Physician Assistant · Port Jefferson, NY

NPI number 1124633169 Active

Practice location

75 N Country Rd
Port Jefferson, NY 11777-2119

Call (631) 473-1320 Map

Mailing address

57 N Lewis Ave
Lindenhurst, NY 11757-4229

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 1124633169

Ewelina Domanowski's National Provider Identifier is 1124633169, issued on Sep 15, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Port Jefferson, NY. The record was last updated on Aug 15, 2023.