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

Individual provider Physician Assistant · NPI 1366867913

Mrs. Keriann Giacomazza, PA-C is a Physician Assistant in Flushing, New York. Qualified in 2012, 14 years ago. Practices with Dermatology and Skin Surgery Center, Professional Association, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2014
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

6040 Marathon Pkwy
Flushing, NY 11362-2041
Phone: (718) 631-3778
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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 016497 (NY)

Record details

NPI number1366867913
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 19, 2014
Last updated in NPPESFebruary 19, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Dermatology And Skin Surgery Center, Professional Association — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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