Individual provider · Type 1 NPI

Leah Gustavson, PA

Physician Assistant · Commack, NY

NPI number 1730197773 Active

Practice location

763 Larkfield Rd
Commack, NY 11725-3131

Call (631) 462-2225 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X005119 (NY)
Physician Assistant 363A00000XPA 9105115 (FL)

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 1730197773

Leah Gustavson, PA's National Provider Identifier is 1730197773, issued on Aug 4, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Commack, NY. The record was last updated on Nov 9, 2012.