Gina Scanlon, MPAS, PA-C

NPI #1295132231 in Deer Park, New York

Provider Information

NPI Number
1295132231
Entity Type
Individual
Name
Gina Scanlon, MPAS, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
MPAS, PA-C
Enumeration Date
Nov 19, 2014
Last Updated
Sep 11, 2024

Practice Location

Address
1600 DEER PARK AVE
Address 2
SUITE G
ZIP Code
11729-5208
Phone
(631) 667-0388

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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