Revzin, Gina
Revzin, Gina is an individual health care provider with primary practice located at 627 Broadway Ste 1 , Massapequa NY 11758-5031. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Revzin, Gina can be contacted via phone (516) 541-4171.Contact Information
Primary practice address
627 Broadway Ste 1
Massapequa NY 11758-5031
Phone: (516) 541-4171
Fax: (516) 377-5712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 009155 | New York |
Profile Details
| NPI number | 1346570322 |
|---|---|
| LBN Legal business name | Revzin, Gina |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2010 |
| Last updated | Jun 22nd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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