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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KAITLYN RAE ROEDA, PA-C

Active

KAITLYN RAE ROEDA, PA-C is a Physician Assistant healthcare provider located in VALLEY STREAM, New York. NPI 1013697218 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · VALLEY STREAM, NY

Registration Details

NPI Number
1013697218
Provider Type
Individual
Gender
Female
NPI Issued
Jul 21, 2023 (3.0506656776125 yrs)
Last Updated
Jul 21, 2023
License
030105 (NY)

Practice Information

Address
900 FRANKLIN AVE
VALLEY STREAM, NY, 115802145
Browse NY providers · Browse ZIP 11580
Phone
5162566000
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in VALLEY STREAM, NY

Name Credential NPI
JODI VELOCCI PA 1437189073
MR. STALIN VARUGHESE RPA-C 1508941832
DONNA TWIGGS PA 1336299882
MS. MICHELLE A. RENZI RPA-C 1174726228
MS. MARIANN MARGARET BRAITO P.A. 1043419054
MELANIE LIEBER PA 1518150572
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.