Gia Aslanidis
Nurse Practitioner, Pediatrics in Port Jefferson Station, NY. Individual provider (NPI-1).
NPI number1003686379
StatusActive
Last updated in NPPESJan 8, 2024
Details
- NPI
- 1003686379
- Entity type
- Individual (NPI-1)
- Name
- Gia Aslanidis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 8, 2024
- Certification date
- Jan 7, 2024
- Last updated
- Jan 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 383594 | NY | Yes |
Practice location
1404 Sara CirPort Jefferson Station, NY 11776-2750
Phone 516-563-1147
Mailing address
1404 Sara CirPort Jefferson Station, NY 11776-2750
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