Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katherine Ann Carroll, PA-C

Individual provider Physician Assistant · NPI 1083955660

Katherine Ann Carroll, PA-C is a Physician Assistant in Massapequa, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

20 Hicksville Rd Ste 2
Massapequa, NY 11758-5819
Phone: (516) 799-7500
Fax: (516) 799-2075
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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 009545-1 (NY)

Record details

NPI number1083955660
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 7, 2013
Last updated in NPPESMarch 7, 2013

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