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

Individual provider Medical Physician Assistant · NPI 1154606648

Christina Dangervil, PA, RPAC is a Physician Assistant in Mineola, New York. Qualified in 2011, 15 years ago. Practices with New York University, a 5,884-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2011
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

259 1st St
Mineola, NY 11501-3957
Phone: (516) 663-8312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3 California Pl S, Island Park, NY 11558-2216 — (516) 670-8800

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 014919 (NY)

Record details

NPI number1154606648
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA , RPAC
Sole proprietorYes
NPI enumeratedOctober 15, 2011
Last updated in NPPESOctober 24, 2022
Certification dateOctober 24, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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