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

MS. Derly M Heredia, PA

Individual provider Medical Physician Assistant · NPI 1316126287

MS. Derly M Heredia, PA is a Medical Physician Assistant in Elmhurst, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
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

4028 82nd St 2nd Fl
Elmhurst, NY 11373-1305
Phone: (718) 478-0338
Fax: (718) 478-6050
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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 011032 (NY)

Record details

NPI number1316126287
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 29, 2007
Last updated in NPPESOctober 29, 2007

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