person
Mrs. Gina Revzin, PA,
Medical Physician Assistant in Massapequa, New York
NPI 1346570322

Gina Revzin is a Medical Physician Assistant based in Tarrytown, NY and is specialized in Medical. Gina Revzin practices in Massapequa, NY and has the professional credentials of PA,. The NPI Number for Gina Revzin is 1346570322 and holds a License No. 009155 (New York).

The current practice location address for Gina Revzin is 627 Broadway Ste 1, Massapequa, NY and can be reached out via phone at 516-541-4171 and via fax at 516-377-5712.

Location: 627 Broadway Ste 1, Massapequa, NY, 10591-5139
person
Provider Profile Details
NPI Number
1346570322
Provider Name
Gina Revzin
Credential
PA,
Provider Entity Type
Individual
Gender
Female
Address
627 Broadway Ste 1, Massapequa, NY, 10591-5139
Phone Number
516-541-4171
Fax Number
516-377-5712
Provider Enumeration Date
01/13/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
627 Broadway Ste 1
City
State
Zip
11758-5031
Phone Number
516-541-4171
Fax Number
516-377-5712
person
Provider Business Mailing Address Details
Address
627 Broadway Ste 1
City
State
Zip
11758-5031
Phone Number
516-541-4171
Fax Number
516-377-5712
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
009155 (New York)
Definition
Definition to come...
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