| Paige Selzer, | |
|
225 Eastview Dr, Central Islip, NY 11722-4539 | |
| (631) 761-7010 | |
| Not Available |
| Full Name | Paige Selzer |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 225 Eastview Dr, Central Islip, 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 |
|---|---|---|---|
| 1730917410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | South Shore Family Medical Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720122716 PECOS PAC ID: 5597803213 Enrollment ID: O20091117000286 |
| Mailing Address | Practice Location Address |
|---|---|
| Paige Selzer, 225 Eastview Dr, Central Islip, NY 11722-4539 Ph: Not Available | Paige Selzer, 225 Eastview Dr, Central Islip, NY 11722-4539 Ph: (631) 761-7010 |
Andrea Martinez Villalobos, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 159 Carleton Ave, Central Islip, NY 11722 Phone: 631-650-2510 Fax: 631-650-0497 |
Lauren Kelly Radecki, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 225 Eastview Dr, Central Islip, NY 11722 Phone: 631-665-1600 |
Jillian Colchamiro, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 225 Eastview Dr, Central Islip, NY 11722 Phone: 631-665-1600 |
Shannon Kerrianne Camuso, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 225 Eastview Dr, Central Islip, NY 11722 Phone: 631-665-1600 |
Miriam Raitport, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 225 Eastview Dr, Central Islip, NY 11722 Phone: 000-000-0000 |
Sandy Hu, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 225 Eastview Dr, Central Islip, NY 11722 Phone: 347-335-3953 |
Nicole Barrett, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 225 Eastview Dr, Central Islip, NY 11722 Phone: 631-665-1600 |