Individual provider · Type 1 NPI

Emma Fedoryk

Physician Assistant · Port Jefferson Station, NY

NPI number 1376051748 Active

Practice location

49 Nesconset Hwy
Port Jefferson Station, NY 11776-2628

Call (631) 751-3000 Map

Mailing address

1 Research Rd
Ridge, NY 11961-2701

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X033644-01 (NY)
Athletic Trainer 2255A2300XNone 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 1376051748

Emma Fedoryk's National Provider Identifier is 1376051748, issued on Jan 18, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Apr 7, 2026.