Individual provider · Type 1 NPI

Gracie-Ann Samadh Roberts, PHYSICIAN ASSISTANT

Physician Assistant · Staten Island, NY

NPI number 1407045917 Active

Practice location

439 Port Richmond Ave
Staten Island, NY 10302-1714

Call (917) 830-1235 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X011794 (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 1407045917

Gracie-Ann Samadh Roberts, PHYSICIAN ASSISTANT's National Provider Identifier is 1407045917, issued on Oct 20, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Staten Island, NY. The record was last updated on Jun 4, 2026.