Individual provider · Type 1 NPI

Gina M. Gazdak, CRNP

Adult Health Nurse Practitioner · Greenhurst, NY

NPI number 1154310407 Active

Practice location

3023 Route 60
Greenhurst, NY 14742-0400

Mailing address

PO Box 400
Greenhurst, NY 14742-0400

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF305097-1 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1154310407

Gina M. Gazdak, CRNP's National Provider Identifier is 1154310407, issued on Oct 19, 2005. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Greenhurst, NY. The record was last updated on Apr 6, 2009.