Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Richard Thailer, PA-C

Individual provider Physician Assistant · NPI 1023651643

Mr. Richard Thailer, PA-C is a Physician Assistant in East Northport, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

19 Mansfield Ln S
East Northport, NY 11731-4134
Phone: (631) 334-0627
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1490 (NY)

Record details

NPI number1023651643
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 27, 2019
Last updated in NPPESOctober 27, 2019

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