Brenna Katherine Buckstein, MSPAS, PA-C
Physician Assistant in Port Jefferson Station, NY. Individual provider (NPI-1).
NPI number1932065331
StatusActive
Last updated in NPPESDec 29, 2025
Details
- NPI
- 1932065331
- Entity type
- Individual (NPI-1)
- Name
- Ms. Brenna Katherine Buckstein
- Credential
- MSPAS, PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2025
- Certification date
- Dec 29, 2025
- Last updated
- Dec 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 035020-01 | NY | Yes |
Practice location
112 Terryville RdPort Jefferson Station, NY 11776-1329
Phone 631-209-2827
Mailing address
112 Terryville RdPort Jefferson Station, NY 11776-1329
Phone 631-209-2827
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All 36 Physician Assistant providers in Port Jefferson Station · All 1,186 providers in Port Jefferson Station
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