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Diana Gavrilov, PA
Medical Physician Assistant in New Hyde Park, New York
NPI 1316067390

Diana Gavrilov is a Medical Physician Assistant based in Westbury, NY and is specialized in Medical. Diana Gavrilov practices in New Hyde Park, NY and has the professional credentials of PA. The NPI Number for Diana Gavrilov is 1316067390 and holds a License No. 006024 (New York).

The current practice location address for Diana Gavrilov is 27005 76Th Ave, New Hyde Park, NY and can be reached out via phone at 718-470-7331.

Location: 27005 76Th Ave, New Hyde Park, NY, 11590-1740
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316067390
Provider Name
Diana Gavrilov
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
27005 76Th Ave, New Hyde Park, NY, 11590-1740
Phone Number
718-470-7331
Fax Number
Provider Enumeration Date
03/31/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
27005 76Th Ave
City
New Hyde Park
State
New York
Zip
11040-1433
Phone Number
718-470-7331
Fax Number
person
Provider Business Mailing Address Details
Address
27005 76Th Ave
City
New Hyde Park
State
New York
Zip
11040-1433
Phone Number
718-470-7331
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
006024 (New York)
Definition
Definition to come...
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