Individual provider · Type 1 NPI

Revathi Vijayaraghavan, P.A.

Medical Physician Assistant · Valley Stream, NY

NPI number 1710062682 Active

About NPI 1710062682

Revathi Vijayaraghavan, P.A.'s National Provider Identifier is 1710062682, issued on Oct 26, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Valley Stream, NY. The record was last updated on Jul 8, 2007.