Individual provider · Type 1 NPI

Kerry Ly, PA-C

Physician Assistant · Brooklyn, NY

NPI number 1275304248 Active

Practice location

515 84th St Fl 1
Brooklyn, NY 11209-4701

Mailing address

2117 W 7th St
Brooklyn, NY 11223-3735

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000X033992 (NY)
Physician Assistant Primary 363A00000X033992 (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 1275304248

Kerry Ly, PA-C's National Provider Identifier is 1275304248, issued on Jan 10, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 1, 2025.