Individual provider · Type 1 NPI

Alyssa Eileen De Simone, PA-C

Medical Physician Assistant · Bay Shore, NY

NPI number 1740700541 Active

Practice location

301 E Main St
Bay Shore, NY 11706-8408

Call (631) 968-3000 Map

Mailing address

72 Violet St
Massapequa Park, NY 11762-1251

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X020815-1 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1740700541

Alyssa Eileen De Simone, PA-C's National Provider Identifier is 1740700541, issued on Jun 22, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bay Shore, NY. The record was last updated on Jun 22, 2017.