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

Individual provider Physician Assistant · NPI 1235505413

MS. Agnes Sides, PA is a Physician Assistant in Great Neck, New York. Qualified in 2006, 20 years ago. Practices with Century Medical and Dental Center Inc, a 107-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

560 Northern Blvd
Great Neck, NY 11021-5118
Phone: (516) 487-6200
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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 011694 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 001694 (NY)

Record details

NPI number1235505413
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 11, 2015
Last updated in NPPESAugust 11, 2015
Mailing address320 Carvel Ave, Cedarhurst, NY 11516-1422

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Century Medical And Dental Center Inc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Great Neck