-- TEDDY HERVIAS -- RPA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1578830964- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RPA-C
- Status
- Active
Contact & Location
- Address
- 55 N MAIN ST, FREEPORT, NY, 115202243
- Phone
- (516) 377-8014
Specialties & Taxonomies
Physician Assistant
Primary License: NY #014652