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

Kacy L Zelesnikar, PA

Individual provider Physician Assistant · NPI 1750682894

Kacy L Zelesnikar, PA is a Physician Assistant in Endicott, New York. Qualified in 2010, 16 years ago. Practices with Our Lady of Lourdes Memorial Hospital Inc, a 249-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
16
Licensed in
NY
In the registry since
2010
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

415 E Main St
Endicott, NY 13760-4925
Phone: (607) 785-2460
Fax: (607) 785-2584
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 014462 (NY)

Record details

NPI number1750682894
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 5, 2010
Last updated in NPPESNovember 8, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Our Lady Of Lourdes Memorial Hospital Inc — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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