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Gina Scanlon, MPAS,PA-C
Medical Physician Assistant in Deer Park, New York
NPI 1295132231

Gina Scanlon is a Medical Physician Assistant based in North Babylon, NY and is specialized in Medical. Gina Scanlon practices in Deer Park, NY and has the professional credentials of MPAS,PA-C. The NPI Number for Gina Scanlon is 1295132231 and holds a License No. 018262 (New York).

The current practice location address for Gina Scanlon is 1600 Deer Park Ave, Deer Park, NY and can be reached out via phone at 631-667-0388.

Location: 1600 Deer Park Ave, Deer Park, NY, 11703-3104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295132231
Provider Name
Gina Scanlon
Credential
MPAS,PA-C
Provider Entity Type
Individual
Gender
Female
Address
1600 Deer Park Ave, Deer Park, NY, 11703-3104
Phone Number
631-667-0388
Fax Number
Provider Enumeration Date
11/19/2014
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
1600 Deer Park Ave
City
Deer Park
State
New York
Zip
11729-5208
Phone Number
631-667-0388
Fax Number
person
Provider Business Mailing Address Details
Address
1600 Deer Park Ave
City
Deer Park
State
New York
Zip
11729-5208
Phone Number
631-667-0388
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
018262 (New York)
Definition
Definition to come...
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