Individual provider · Type 1 NPI

Nata Leybengrub, PA-C

Physician Assistant · Merrick, NY

NPI number 1700378593 Active

Practice location

2276 Merrick Ave
Merrick, NY 11566-4342

Fax (516) 217-4049

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	022035-1 (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 1700378593

Nata Leybengrub, PA-C's National Provider Identifier is 1700378593, issued on Jun 6, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Merrick, NY. The record was last updated on Sep 9, 2026.