Gina F Lidestri, PA
Physician Assistant, Medical in Bristol, Connecticut
1043403868- Practice location
- 41 Brewster RD, Bristol, CT 06010-5161
- Phone
- 860-585-3313
- Fax
- —
- Last updated
- January 21, 2012
Gina F Lidestri is a Physician Assistant, Medical based in Bristol, CT. Gina F Lidestri practices in Bristol, CT and has the professional credentials of PA. The NPI Number for Gina F Lidestri is 1043403868 and holds a License No. 001942 (CT). The current practice location address for Gina F Lidestri is 41 Brewster RD, Bristol, CT 06010-5161 and can be reached out via phone at 860-585-3313.
Provider Profile Details
- NPI Number
- 1043403868
- Provider Name
- Gina F Lidestri
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 41 Brewster RD, Bristol, CT 06010-5161
- Phone Number
- 860-585-3313
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Other Names
- -- Gina F Mangari, PA (Former Name)
- Provider Enumeration Date
- August 24, 2007
- Last Update Date
- January 21, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 41 Brewster RD
Bristol, CT 06010-5161 - City
- Bristol
- State
- Connecticut
- Zip
- 06010-5161
- Phone Number
- 860-585-3313
Provider Business Mailing Address Details
- Address
- 41 Brewster RD
Bristol, CT 06010-5161 - City
- Bristol
- State
- CT
- Zip
- 06010-5161
- Phone Number
- 860-585-3313
License Information
- License Number (1)
- 001942
- License State (1)
- CT
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 001942
- License State (2)
- CT
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Gina F Lidestri, PA?
The NPI number of Gina F Lidestri, PA is 1043403868. It was assigned on August 24, 2007 and is currently active in the NPPES registry.
What is the specialty of Gina F Lidestri, PA?
Gina F Lidestri, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 001942.
Where does Gina F Lidestri, PA practice?
The practice location is 41 Brewster RD, Bristol, CT 06010-5161. The office can be reached at 860-585-3313 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043403868 directly on the NPPES registry website.