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

Individual provider Physician Assistant · NPI 1255809216

Mikaela Terez Zummo, PA-C is a Physician Assistant in Long Beach, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
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

563 E Harrison St
Long Beach, NY 11561-2444
Phone: (516) 639-3769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NY)

Record details

NPI number1255809216
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 7, 2018
Last updated in NPPESNovember 7, 2018

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