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

Individual provider Physician Assistant · NPI 1073067732

Bethany Sly, PA is a Physician Assistant in Liverpool, New York. Qualified in 2016, 10 years ago. Practices with Physicians Immediate Care North Chicago LLC, a 261-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
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

4811 Buckley Rd
Liverpool, NY 13088-3629
Phone: (315) 457-9966
Fax: (315) 457-9854
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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 019957 (NY)

Record details

NPI number1073067732
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 11, 2016
Last updated in NPPESAugust 11, 2016
Mailing address4811 Buckley Rd, Liverpool, NY 13088-3629

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Physicians Immediate Care North Chicago Llc — 261 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations18 on file with Medicare

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