Individual provider · Type 1 NPI

Brenna Katherine Buckstein, MSPAS, PA-C

Physician Assistant · Port Jefferson Station, NY

NPI number 1932065331 Active

Practice location

112 Terryville Rd
Port Jefferson Station, NY 11776-1329

Call (631) 209-2827 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X035020-01 (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 1932065331

Brenna Katherine Buckstein, MSPAS, PA-C's National Provider Identifier is 1932065331, issued on Dec 29, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Dec 29, 2025.