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

Individual provider Physician Assistant · NPI 1063252377

Courtney Malia Clemons is a Physician Assistant in Riverhead, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2024, 2 years ago. Practices with Central Suffolk Hospital, a 91-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2024
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Practice location Address checks out

1 Heroes Way
Riverhead, NY 11901-2058
Phone: (631) 548-6000
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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 032654 (NY)

Record details

NPI number1063252377
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 27, 2024
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Central Suffolk Hospital — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Riverhead