Individual provider · Type 1 NPI

Carlo Ivan Gwardschaladse, PA

Physician Assistant · Hawthorne, NY

NPI number 1386639441 Active

Practice location

19 Bradhurst Ave
Hawthorne, NY 10532-2139

Call (914) 345-0162 Map

Fax (914) 347-4401

Mailing address

95 Grasslands Rd, Munger Pavilion
Valhalla, NY 10595-1652

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X005375 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1386639441

Carlo Ivan Gwardschaladse, PA's National Provider Identifier is 1386639441, issued on Sep 15, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Hawthorne, NY. The record was last updated on May 5, 2008.