Individual provider · Type 1 NPI

Charles Daniel Severance, PA-C

Physician Assistant · Roslyn, NY

NPI number 1497664973 Active

Practice location

100 Port Washington Blvd
Roslyn, NY 11576-1347

Call (516) 562-6000 Map

Mailing address

67 Hollyhock Rd
Levittown, NY 11756-2421

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X036548 (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 1497664973

Charles Daniel Severance, PA-C's National Provider Identifier is 1497664973, issued on Sep 2, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Roslyn, NY. The record was last updated on Sep 2, 2026.