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

Kristin Rose McDonough

Individual provider Surgical Physician Assistant · NPI 1639741846

Kristin Rose McDonough is a Surgical Physician Assistant in Hicksville, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
Specialties on file
2

Practice location Address checks out

55 E Old Country Rd
Hicksville, NY 11801-4293
Phone: (169) 876-4285
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 026791 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 026791 (NY)

Record details

NPI number1639741846
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 15, 2021
Last updated in NPPESNovember 10, 2023
Certification dateNovember 10, 2023

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