Individual provider · Type 1 NPI

Shayna L. Berretta

Medical Physician Assistant · Port Jefferson Station, NY

NPI number 1396220646 Active

Practice location

5316 Nesconset Hwy
Port Jefferson Station, NY 11776-2591

Call (631) 474-0707 Map

Fax (631) 562-2108

Mailing address

1 Research Rd
Ridge, NY 11961-2701

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X022614 (NY)

Medical Physician Assistant: Definition to come...

9 other providers at this address

Other medical physician assistant providers in Port Jefferson Station

See all in Port Jefferson Station →

About NPI 1396220646

Shayna L. Berretta's National Provider Identifier is 1396220646, issued on Oct 2, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Mar 14, 2025.