Provider Demographics
NPI:1770980534
Name:SOMBKE, EMILY ANN (PA-C)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:ANN
Last Name:SOMBKE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ANN
Other - Last Name:MALINOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:249 MANOR RD.
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743
Mailing Address - Country:US
Mailing Address - Phone:518-331-5952
Mailing Address - Fax:410-329-1054
Practice Address - Street 1:249 MANOR RD.
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743
Practice Address - Country:US
Practice Address - Phone:518-331-5952
Practice Address - Fax:631-201-6104
Is Sole Proprietor?:No
Enumeration Date:2014-11-21
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018259363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant