Provider Demographics
NPI:1780838862
Name:HUGHES, LYNDIE ANDREA (RPA-C)
Entity type:Individual
Prefix:
First Name:LYNDIE
Middle Name:ANDREA
Last Name:HUGHES
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:LYNDIE
Other - Middle Name:ANDREA
Other - Last Name:GALKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:130 MEDFORD AVE
Mailing Address - Street 2:
Mailing Address - City:PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-1206
Mailing Address - Country:US
Mailing Address - Phone:631-475-5734
Mailing Address - Fax:631-758-2568
Practice Address - Street 1:130 MEDFORD AVE
Practice Address - Street 2:
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-1206
Practice Address - Country:US
Practice Address - Phone:631-475-5734
Practice Address - Fax:631-758-2568
Is Sole Proprietor?:No
Enumeration Date:2008-11-16
Last Update Date:2008-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012987363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical