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

MS. Kristine Ann Prazak, RPA-C

Individual provider Surgical Physician Assistant · NPI 1346376092

MS. Kristine Ann Prazak, RPA-C is a Physician Assistant in Mineola, New York. Qualified in 2010, 16 years ago. Practices with New York University, a 5,884-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Licensed in
NY
In the registry since
2007
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

200 Old Country Rd
Mineola, NY 11501-4235
Phone: (516) 294-5330
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • Stony Brook University Medical Ctr, Stony Brook, NY 11794-8191 — (631) 444-1435

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 008873 (NY)

Record details

NPI number1346376092
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedFebruary 26, 2007
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mineola