Individual provider · Type 1 NPI

Judith Marie Summers, RPA-C

Surgical Physician Assistant · West Islip, NY

NPI number 1407959430 Active

Practice location

510 Montauk Highway, Suite C
West Islip, NY 11795

Call (631) 587-1451 Map

Fax (631) 587-0503

Mailing address

57 N. Oceanside Road
Rockville Centre, NY 11570

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X009084-1 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1407959430

Judith Marie Summers, RPA-C's National Provider Identifier is 1407959430, issued on Sep 6, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in West Islip, NY. The record was last updated on Jul 8, 2007.