Individual provider · Type 1 NPI

Isaiah Heri Vallecillo, PA-C

Physician Assistant · Mineola, NY

NPI number 1740085547 Active

Practice location

259 1st St
Mineola, NY 11501-3957

Call (516) 663-0333 Map

Mailing address

38 Babcock Ave
Ronkonkoma, NY 11779-6747

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed
Surgical Physician Assistant 363AS0400XNone listed

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 1740085547

Isaiah Heri Vallecillo, PA-C's National Provider Identifier is 1740085547, issued on Feb 17, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mineola, NY. The record was last updated on Feb 17, 2025.