| Ms Leah Gustavson, PA | |
|
763 Larkfield Rd, Commack, NY 11725-3131 | |
| (631) 462-2225 | |
| Not Available |
| Full Name | Ms Leah Gustavson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 763 Larkfield Rd, Commack, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730197773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 005119 (New York) | Primary |
| 363A00000X | Physician Assistant | PA 9105115 (Florida) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Leah Gustavson, PA 763 Larkfield Rd, Commack, NY 11725-3131 Ph: (631) 462-2225 | Ms Leah Gustavson, PA 763 Larkfield Rd, Commack, NY 11725-3131 Ph: (631) 462-2225 |
Mr. Michael Osipoff, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 763 Larkfield Rd, 2nd Floor, Commack, NY 11725 Phone: 631-462-2225 Fax: 631-462-2240 | |
Kimberly Gerin, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 353 Veterans Memorial Hwy, Commack, NY 11725 Phone: 631-543-4888 | |
Mr. Scott Michael Gressin, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 763 Larkfield Rd, Commack, NY 11725 Phone: 631-462-2225 Fax: 631-462-0976 | |
Maureen Jeanette Kelly, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 68 Hauppauge Rd, Commack, NY 11725 Phone: 631-715-2503 | |
Mr. Eric P. Schein, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1092 Jericho Turnpike, Suite 2-s, Commack, NY 11725 Phone: 631-543-8660 Fax: 631-543-8661 | |
Amy B Rosario, RPA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 98 Jericho Tpke, Commack, NY 11725 Phone: 631-387-4355 | |
Brooke Noelle Cahill, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 353 Veterans Memorial Hwy, Commack, NY 11725 Phone: 631-543-4888 |