Individual provider · Type 1 NPI
Gina Murgolo, PA-C
Medical Physician Assistant · Staten Island, NY
NPI number
1154034916
Active
Practice location
475 Seaview Ave
Staten Island, NY 10305-3436
Mailing address
21 Barrier Dr
Hazlet, NJ 07730-1042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | 029374 (NY) |
| Medical Physician Assistant Primary | 363AM0700X | 029374 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1154034916
Gina Murgolo, PA-C's National Provider Identifier is 1154034916, issued on Dec 26, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Staten Island, NY. The record was last updated on Aug 5, 2025.