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SUPRANEE PROMBANTHOA PA
NPI 1942442223
Physician Assistant in East Meadow, NY

Active since April 01, 2009
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554(516) 572-6501(516) 572-5609 Get Directions Write a Review

NPPES record last updated: April 1, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Supranee Prombanthoa Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPRANEE PROMBANTHOA PA (NPI 1942442223) is an individual physician assistant in East Meadow, New York, licensed in New York (012965) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1942442223
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUPRANEE PROMBANTHOACredential: PA
Location Address2201 HEMPSTEAD TPKEEast Meadow, NY 11554-1859
Mailing Address2201 Hempstead TpkeEast Meadow, NY 11554-1859 · (516) 572-6501 · Fax (516) 572-5609
Phone(516) 572-6501
Fax(516) 572-5609
Sole ProprietorNo
Enumeration DateApril 1, 2009
✔ NPI 1942442223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 012965
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2201 HEMPSTEAD TPKE, East Meadow, NY 11554
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Other Identifiers 1

Other012965NY · Nys License Number

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSITA BERNADOTTE R.N.
Registered Nurse
2201 HEMPSTEAD TPKE, NASSAU UNIVERSITY MEDICAL CENTER
EAST MEADOW, NY 11554
Nassau County (516) 572-6131
KENICE E. DALTON JR. O.T.
Occupational Therapist
2201 HEMPSTEAD TPKE, NASSAU UNIVERSITY MEDICAL CENTER
EAST MEADOW, NY 11554
Nassau County (516) 572-6131
VIVIAN LYNN POLLOCK M.S.W.
Social Worker
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-6131
CICILY BROWN R.N.
Registered Nurse
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-6131
SHAMAILA IDREES M.D.
Psychiatry & Neurology (Psychiatry)
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-6171
DR. SARAH ROSE STEVENS DO
Student in an Organized Health Care Education/Training Program
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-0123
WEI LEONG DO
Student in an Organized Health Care Education/Training Program
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-6177
KONSTANTINOS IOANNIS FORTOUNAS MD
Student in an Organized Health Care Education/Training Program
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-6637

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supranee Prombanthoa's NPI number?

The NPI number for Supranee Prombanthoa is 1942442223. It was assigned to this individual provider in the NPPES registry on April 1, 2009.

Where is Supranee Prombanthoa located?

Supranee Prombanthoa practices at 2201 Hempstead Tpke, East Meadow, NY 11554. The listed phone number is (516) 572-6501.

What is Supranee Prombanthoa's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Supranee Prombanthoa was last updated on April 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.