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

TEDDY HERVIAS, RPA-C

Active

TEDDY HERVIAS, RPA-C is a Physician Assistant healthcare provider located in FREEPORT, New York. NPI 1578830964 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FREEPORT, NY

Registration Details

NPI Number
1578830964
Provider Type
Individual
Gender
Male
NPI Issued
Nov 29, 2011 (14.676218643888 yrs)
Last Updated
Feb 27, 2012
License
014652 (NY)

Practice Information

Address
55 N MAIN ST
FREEPORT, NY, 115202243
Browse NY providers · Browse ZIP 11520
Phone
5163778014
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in FREEPORT, NY

Name Credential NPI
NICOLE ANN LEGGIO RPA-C 1609817188
MR. CEDRIC CHARLES WALLACE PA-C 1891946240
MR. DAVID JOHNSON 1902115595
PATRICIA MOMPOINT PA 1811316508
JENNIFER WENDY MURGA PA-C 1922497221
MRS. CHELSEA ELIZABETH CAVALLARO 1083154793
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.