Vijayaraghavan, Revathi
Vijayaraghavan, Revathi is an individual health care provider with primary practice located at 19 Darewood Ln , Valley Stream NY 11581-2407. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Vijayaraghavan, Revathi can be contacted via phone (516) 792-3789.Contact Information
Primary practice address
19 Darewood Ln
Valley Stream NY 11581-2407
Phone: (516) 792-3789
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 007222 | New York |
Profile Details
| NPI number | 1710062682 |
|---|---|
| LBN Legal business name | Vijayaraghavan, Revathi |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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