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

Mrs. Revathi Vijayaraghavan, PA

Individual provider Medical Physician Assistant · NPI 1710062682

Mrs. Revathi Vijayaraghavan, PA is a Medical Physician Assistant in Valley Stream, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

19 Darewood Ln
Valley Stream, NY 11581-2407
Phone: (516) 792-3789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 007222 (NY)

Record details

NPI number1710062682
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 26, 2006
Last updated in NPPESJuly 8, 2007

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