Individual provider · Type 1 NPI

Kaitlyn Rae Roeda, PA-C

Physician Assistant · Valley Stream, NY

NPI number 1013697218 Active

Practice location

900 Franklin Ave
Valley Stream, NY 11580-2145

Call (516) 256-6000 Map

Mailing address

22 Rose Ave Apt 2
Glen Cove, NY 11542-2474

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X030105 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1013697218

Kaitlyn Rae Roeda, PA-C's National Provider Identifier is 1013697218, issued on Jul 21, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Valley Stream, NY. The record was last updated on Jul 21, 2023.