Individual provider · Type 1 NPI

Ryan Dekenipp, PHYSICIAN ASSISTANT

Physician Assistant · Bay Shore, NY

NPI number 1306550140 Active

Practice location

340 Howells Rd Ste 2B
Bay Shore, NY 11706-5322

Call (833) 547-7463 Map

Fax (631) 318-9830

Mailing address

100 Motor Pkwy Ste LL8
Hauppauge, NY 11788-5165

Other practice locations

  • 66 Commack Rd Ste 103, Commack, NY 11725-3405 · (833) 547-7463
  • 182 Main St, Huntington, NY 11743-6987 · (833) 547-7463
  • 4250 Hempstead Tpke Ste 4, Bethpage, NY 11714-5707 · (833) 547-7463

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X363A00000X (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…

5 other providers at this address

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About NPI 1306550140

Ryan Dekenipp, PHYSICIAN ASSISTANT's National Provider Identifier is 1306550140, issued on Jan 6, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bay Shore, NY. The record was last updated on Oct 4, 2024.