Individual provider · Type 1 NPI

Gina Revzin, P.A

Medical Physician Assistant · Massapequa, NY

NPI number 1346570322 Active

Practice location

627 Broadway Ste 1
Massapequa, NY 11758-5031

Call (516) 541-4171 Map

Fax (516) 377-5712

Mailing address

660 White Plains Rd
Tarrytown, NY 10591-5139

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X009155 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1346570322

Gina Revzin, P.A's National Provider Identifier is 1346570322, issued on Jan 13, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Massapequa, NY. The record was last updated on Jun 22, 2022.