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

Individual provider Physician Assistant · NPI 1073241642

Lindsay Poulakos, PA-C is a Physician Assistant in New York, New York. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in New Jersey and New York.

Years since qualifying
4
Licensed in
NJ, NY
In the registry since
2022
Specialties on file
3
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

1275 York Ave
New York, NY 10065-6007
Phone: (212) 639-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 170 William St, New York, NY 10038-2612 — (212) 312-5000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 029835 (NY)
Physician Assistant Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 25MP00772900 (NJ)

Record details

NPI number1073241642
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 11, 2022
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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