Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Unbridled Aesthetics

Organization Physician Assistant · NPI 1538094925

Unbridled Aesthetics is a Physician Assistant in Wading River, New York. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

245 Hidden Pond Path
Wading River, NY 11792-2184
Phone: (631) 662-0614
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1538094925
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Erica McBride — Physician Assistant · (631) 662-0614
NPI enumeratedJune 16, 2026
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address245 Hidden Pond Path, Wading River, NY 11792-2184

Other providers in Wading River