Carlo Ivan Gwardschaladse in Valhalla - Physician Assistant
Carlo Ivan Gwardschaladse - NPI 1386639441
Carlo Ivan Gwardschaladse is a Physician Assistant in Valhalla, New York. Carlo Ivan Gwardschaladse practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Carlo Ivan Gwardschaladse is 1386639441. The last update date is 2008-05-05.
Carlo Ivan Gwardschaladse's current location address is 95 Grasslands Rd, Valhalla, New York. You can contact this provider via phone number 9144937621 and fax number 9145944359. The mailing address for Carlo Ivan Gwardschaladse is 95 Grasslands Rd, Valhalla, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Carlo Ivan Gwardschaladse |
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Address | 95 Grasslands Rd, Valhalla, New York |
Phone Number | 9144937621 |
Fax Number | 9145944359 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1386639441 |
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Provider Enumeration Date | 2005-09-15 |
Last Updated Date | 2008-05-05 |
Provider Mailing Address Detail
Address | 95 Grasslands Rd |
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City | Valhalla |
State | New York (NY) |
Post Code | 105951652 |
Phone Number | 9144937621 |
Fax Number | 9145944359 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 5375 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code assigned to Carlo Ivan Gwardschaladse by the Centers for Medicare & Medicaid Services?
The Carlo Ivan Gwardschaladse has been issued the NPI (National Provider Identifier) 1386639441, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Carlo Ivan Gwardschaladse is physically located?
The Carlo Ivan Gwardschaladse is physically situated at the following address: 95 Grasslands Rd, Valhalla, NY, 105951652.
What is Carlo Ivan Gwardschaladse's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Carlo Ivan Gwardschaladse is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When did Carlo Ivan Gwardschaladse receive its 1386639441 assignment?
The Carlo Ivan Gwardschaladse was assigned its 1386639441 on 2005-09-15, which is the date when this unique identifier was issued to the organization.
When was the information related to Carlo Ivan Gwardschaladse most recently updated or refreshed?
The details pertaining to the Carlo Ivan Gwardschaladse, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-05.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH