Provider Demographics
NPI:1427837921
Name:PIOTROWSKI, KARA JOY (PA-C)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:JOY
Last Name:PIOTROWSKI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 VETERANS MEMORIAL HWY FL 2
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-2992
Mailing Address - Country:US
Mailing Address - Phone:631-636-0815
Mailing Address - Fax:
Practice Address - Street 1:800 VETERANS MEMORIAL HWY FL 2
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-2992
Practice Address - Country:US
Practice Address - Phone:631-636-0815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031348363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant