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

Pamela Cornacchia, PA

Individual provider Physician Assistant · NPI 1124565858

Pamela Cornacchia, PA is a Physician Assistant in Roslyn Heights, New York. Graduated from State University of New York Downstate Medical Center in 1996, 30 years ago. Practices with Fresh Meadows Physician Practice PLLC, a 33-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
30
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2017
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

2 Locust Ln
Roslyn Heights, NY 11577-2625
Phone: (516) 457-0783
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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 006052-1 (NY)

Record details

NPI number1124565858
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJanuary 19, 2017
Last updated in NPPESMay 23, 2023
Certification dateMay 23, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1996 (30 years in practice)
Group practice Fresh Meadows Physician Practice Pllc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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