Individual provider · Type 1 NPI

Ellie Theodorakis, PA-C

Physician Assistant · Jamaica, NY

NPI number 1669178083 Active

Practice location

9420 Guy R Brewer Blvd
Jamaica, NY 11451-0002

Call (718) 262-2000 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X029649 (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…

44 other providers at this address

Other physician assistant providers in Jamaica

See all in Jamaica →

About NPI 1669178083

Ellie Theodorakis, PA-C's National Provider Identifier is 1669178083, issued on Feb 7, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jamaica, NY. The record was last updated on Jul 14, 2025.