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

Anisa Ali-Perez, PA

Individual provider Physician Assistant · NPI 1255370540

Anisa Ali-Perez, PA is a Physician Assistant in Lake Ronkonkoma, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

640 Hawkins Ave
Lake Ronkonkoma, NY 11779-2324
Phone: (631) 737-0100
Fax: (631) 417-1117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001915 (NY)

Record details

NPI number1255370540
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESOctober 5, 2011

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