Theresa Mary Mouzakitis, PA
Physician Assistant in Manhasset, NY. Individual provider (NPI-1).
NPI number1003326232
StatusActive
Last updated in NPPESJul 16, 2026
Details
- NPI
- 1003326232
- Entity type
- Individual (NPI-1)
- Name
- Theresa Mary Mouzakitis
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2017
- Certification date
- Jul 16, 2026
- Last updated
- Jul 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 021260 | NY | Yes |
| 207V00000X | Obstetrics & Gynecology | 021260 | NY |
Practice location
300 Community DrManhasset, NY 11030-3816
Phone 516-662-5100
Mailing address
334 Grover Ave EMassapequa Park, NY 11762-3226
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All 189 Physician Assistant providers in Manhasset · All 3,053 providers in Manhasset
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