Healthcare Provider Details

I. General information

NPI: 1356079016
Provider Name (Legal Business Name): AIMEE ARMA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2022
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 MIDDLE COUNTRY RD
SELDEN NY
11784-2516
US

IV. Provider business mailing address

2 SAWYER CT
EAST SETAUKET NY
11733-1766
US

V. Phone/Fax

Practice location:
  • Phone: 631-696-5437
  • Fax:
Mailing address:
  • Phone: 631-525-1128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number28790
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: