Organization · Type 2 NPI

Unbridled Aesthetics

Physician Assistant · Wading River, NY

NPI number 1538094925 Active

Practice location

245 Hidden Pond Path
Wading River, NY 11792-2184

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone 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…

About NPI 1538094925

Unbridled Aesthetics's National Provider Identifier is 1538094925, issued on Jun 16, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wading River, NY. The record was last updated on Jun 16, 2026.