Provider Demographics
NPI:1730206699
Name:ARIAS, RICHARD (RPA-C)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:
Last Name:ARIAS
Suffix:
Gender:M
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3187 STEINWAY ST
Mailing Address - Street 2:SUITE #6, 3RD FLOOR
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-3952
Mailing Address - Country:US
Mailing Address - Phone:718-626-4881
Mailing Address - Fax:718-626-1502
Practice Address - Street 1:3187 STEINWAY ST
Practice Address - Street 2:SUITE #6, 3RD FLOOR
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-3952
Practice Address - Country:US
Practice Address - Phone:718-626-4881
Practice Address - Fax:718-626-1502
Is Sole Proprietor?:No
Enumeration Date:2007-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003730-01363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical