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

Supranee Prombanthoa, PA

Individual provider Physician Assistant · NPI 1942442223

Supranee Prombanthoa, PA is a Physician Assistant in East Meadow, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone: (516) 572-6501
Fax: (516) 572-5609
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 012965 (NY)

Record details

NPI number1942442223
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 1, 2009
Last updated in NPPESApril 1, 2009

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