Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA PETCHONKA, PA-C
ActiveJESSICA PETCHONKA, PA-C is a Physician Assistant healthcare provider located in MANORVILLE, New York. NPI 1518360536 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MANORVILLE, NY
Registration Details
- NPI Number
- 1518360536
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 4, 2014 (11.836531593656 yrs)
- Last Updated
- Jun 1, 2020
- License
-
018131 (NY)
Practice Information
- Address
-
496 COUNTY ROAD 111BUILDING BMANORVILLE, NY, 119493383Browse NY providers · Browse ZIP 11949
- Phone
- 6314053200
- Fax
- 6313956010
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MANORVILLE, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. VALERIE LYNN COTSALAS | P.A. | 1356500581 |
| DENISE M KARAVAS | PA | 1144553348 |
| KIMBERLY MUZZONIGRO | PA | 1386001725 |
| LISA ANN DEROSA | PA | 1942887393 |
| KAYLA RAE SCHRAGE | PA-C | 1295461002 |
| LILIANA SAUNDERS | — | 1518794551 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.