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

MS. Terry Gravesande, RPA

Individual provider Medical Physician Assistant · NPI 1578794210

MS. Terry Gravesande, RPA is a Medical Physician Assistant in Astoria, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009

Practice location Address checks out

4904 19th Ave
Astoria, NY 11105-1002
Phone: (718) 777-3494
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 003437 (NY)

Record details

NPI number1578794210
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA
Sole proprietorYes
NPI enumeratedJuly 29, 2009
Last updated in NPPESJuly 29, 2009

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