Provider Demographics
NPI:1225369028
Name:PASHKOFF, PAULA (RPA-C)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:PASHKOFF
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 FALLWOOD PKWY
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-4929
Mailing Address - Country:US
Mailing Address - Phone:516-248-1020
Mailing Address - Fax:516-249-1305
Practice Address - Street 1:206 FALLWOOD PKWY
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-4929
Practice Address - Country:US
Practice Address - Phone:516-248-1020
Practice Address - Fax:516-249-1305
Is Sole Proprietor?:No
Enumeration Date:2010-01-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003289-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical