Individual provider · Type 1 NPI
Lilit Gevorgyan, PA-C
Surgical Physician Assistant · Bronx, NY
NPI number
1467900316
Active
Practice location
111 E 210th St
Bronx, NY 10467-2401
Mailing address
7039 Wortser Ave
North Hollywood, CA 91605-4811
Other practice locations
- 5525 Etiwanda Ave, Suite 211, Tarzana, CA 91356-3647 · (818) 757-1212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 53510 (CA) |
| Surgical Physician Assistant Primary | 363AS0400X | 021058-1 (NY) |
Surgical Physician Assistant: Definition to come...
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About NPI 1467900316
Lilit Gevorgyan, PA-C's National Provider Identifier is 1467900316, issued on Sep 20, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bronx, NY. The record was last updated on Jul 21, 2022.