Individual provider · Type 1 NPI

Supranee Prombanthoa, PA

Physician Assistant · East Meadow, NY

NPI number 1942442223 Active

Practice location

2201 Hempstead Tpke
East Meadow, NY 11554-1859

Call (516) 572-6501 Map

Fax (516) 572-5609

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X012965 (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 1942442223

Supranee Prombanthoa, PA's National Provider Identifier is 1942442223, issued on Apr 1, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in East Meadow, NY. The record was last updated on Apr 1, 2009.