Healthcare Provider Details

I. General information

NPI: 1730206699
Provider Name (Legal Business Name): RICHARD ARIAS RPA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3187 STEINWAY ST SUITE #6, 3RD FLOOR
ASTORIA NY
11103-3952
US

IV. Provider business mailing address

3187 STEINWAY ST SUITE #6, 3RD FLOOR
ASTORIA NY
11103-3952
US

V. Phone/Fax

Practice location:
  • Phone: 718-626-4881
  • Fax: 718-626-1502
Mailing address:
  • Phone: 718-626-4881
  • Fax: 718-626-1502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number003730-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: