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

Susana Gomilla, PA

Individual provider Physician Assistant · NPI 1487819439

Susana Gomilla, PA is a Physician Assistant in Flushing, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
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

5645 Main St Dept OF Ob/gyn
Flushing, NY 11355-5045
Phone: (718) 670-1517
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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 9032-1 (NY)

Record details

NPI number1487819439
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 18, 2008
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024

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