Ryan Dekenipp, PHYSICIAN ASSISTANT | |
75 N Country Rd, Port Jefferson, NY 11777-2190 | |
(631) 473-1320 | |
Not Available |
Full Name | Ryan Dekenipp |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 75 N Country Rd, Port Jefferson, 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 |
---|---|---|---|
1306550140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Ryan Dekenipp, PHYSICIAN ASSISTANT 150 Landing Meadow Rd, Smithtown, NY 11787-1100 Ph: (631) 334-2457 | Ryan Dekenipp, PHYSICIAN ASSISTANT 75 N Country Rd, Port Jefferson, NY 11777-2190 Ph: (631) 473-1320 |
Ms. Christie Lee Cotty, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd #110, Port Jefferson, NY 11777 Phone: 631-298-4008 | |
Loretta Didwell, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 Fax: 631-474-4667 | |
Igor Lizogubenko, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6000 | |
Casey Ward, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 | |
Mr. Matthew Delph, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6000 | |
Francis Richard Sicari, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 | |
Charles Mellor, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 Fax: 631-686-7653 |