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

Elizabeth Daggett Pettit

Individual provider Physician Assistant · NPI 1962969097

Elizabeth Daggett Pettit is a Physician Assistant in Syracuse, New York. Qualified in 2018, 8 years ago. Practices with Cny Cosmetic and Reconstructive Surgery LLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2019
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

301 Prospect Ave
Syracuse, NY 13203-1899
Phone: (315) 448-5111
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 5898 Bridge St, East Syracuse, NY 13057-2941 — (315) 663-0112

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 023190 (NY)

Record details

NPI number1962969097
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 25, 2019
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Cny Cosmetic And Reconstructive Surgery Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Syracuse