Provider Demographics
NPI:1003520784
Name:KARRAS, PAIGE SUZANNE (PA-C)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:SUZANNE
Last Name:KARRAS
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 1:20 RAYNIER PL
Mailing Address - Street 2:
Mailing Address - City:NESCONSET
Mailing Address - State:NY
Mailing Address - Zip Code:11767-2212
Mailing Address - Country:US
Mailing Address - Phone:631-624-0486
Mailing Address - Fax:
Practice Address - Street 1:20 RAYNIER PL
Practice Address - Street 2:
Practice Address - City:NESCONSET
Practice Address - State:NY
Practice Address - Zip Code:11767-2212
Practice Address - Country:US
Practice Address - Phone:631-624-0486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant