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

Danielle Sophia Mirabella

Individual provider Physician Assistant · NPI 1033828850

Danielle Sophia Mirabella is a Physician Assistant in Bay Shore, New York. Qualified in 2023, 3 years ago. Practices with Physician Assistant Associate PLLC, a 16-clinician group. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

301 E Main St
Bay Shore, NY 11706
Phone: (631) 968-3000
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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 029746-01 (NY)
Physician Assistant Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1033828850
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 21, 2022
Last updated in NPPESMay 18, 2023
Certification dateMay 18, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Physician Assistant Associate Pllc — 16 clinicians
Accepts Medicare assignment Not indicated
Practice locations6 on file with Medicare

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