Individual provider · Type 1 NPI

Vanessa Elizabeth Carmona Tamayo, PA-C

Physician Assistant · Stony Brook, NY

NPI number 1609386028 Active

Practice location

101 Nicolls Road
Stony Brook, NY 11794-9452

Mailing address

123 Pine Hill Rd
Port Jefferson, NY 11777-2124

Other practice locations

  • 20 2nd Ave NE, Plainview, MN 55964-1497 · (507) 534-3885

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X12481 (MN)
Physician Assistant Primary 363A00000X030265 (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 1609386028

Vanessa Elizabeth Carmona Tamayo, PA-C's National Provider Identifier is 1609386028, issued on Oct 11, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Stony Brook, NY. The record was last updated on Jul 1, 2025.