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

Dylan O'Rourke, R-PAC

Individual provider Medical Physician Assistant · NPI 1083606784

Dylan O'Rourke, R-PAC is a Medical Physician Assistant in Hicksville, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2005
Specialties on file
2

Practice location Address checks out

81 N Broadway
Hicksville, NY 11801-2920
Phone: (516) 933-4350
Fax: (516) 933-4352
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 900 Northern Blvd, Great Neck, NY 11021-5302 — (516) 482-0302

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 008867 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 008867 (NY)

Record details

NPI number1083606784
Entity typeIndividual (Type 1)
GenderMale
Credentials R-PAC
Sole proprietorNo
NPI enumeratedAugust 18, 2005
Last updated in NPPESNovember 12, 2019
Mailing address81 N Broadway, Hicksville, NY 11801-2920

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