Individual provider · Type 1 NPI

Nicole Guja

Surgical Physician Assistant · Bay Shore, NY

NPI number 1043751944 Active

Practice location

301 E Main St, Trauma/acs Office
Bay Shore, NY 11706-8408

Mailing address

38705 Route 25
Peconic, NY 11958-1515

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X020689 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1043751944

Nicole Guja's National Provider Identifier is 1043751944, issued on Mar 13, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bay Shore, NY. The record was last updated on Mar 13, 2017.