Individual provider · Type 1 NPI

Jessica Petchonka, PA-C

Physician Assistant · Manorville, NY

NPI number 1518360536 Active

Practice location

496 County Road 111, Building B
Manorville, NY 11949-3383

Call (631) 405-3200 Map

Fax (631) 395-6010

Mailing address

185 Old Country Rd, Suite 2
Riverhead, NY 11901-2121

Other practice locations

  • 148 Natures Ln, Miller Place, NY 11764-3137 · (631) 636-6888

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X018131 (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…

9 other providers at this address

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About NPI 1518360536

Jessica Petchonka, PA-C's National Provider Identifier is 1518360536, issued on Oct 4, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Manorville, NY. The record was last updated on Jun 1, 2020.