Individual provider · Type 1 NPI
Ashley Kourgialis, PA-C
Medical Physician Assistant · Hackensack, NJ
NPI number
1639665441
Active
Practice location
30 Prospect Ave
Hackensack, NJ 07601-1915
Other practice locations
- 2120 L St NW Ste 450, Washington, DC 20037-1541 · (202) 741-2904
- 111 Michigan Ave NW, Washington, DC 20010-2916 · (202) 476-4177
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1639665441
Ashley Kourgialis, PA-C's National Provider Identifier is 1639665441, issued on Jul 4, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hackensack, NJ. The record was last updated on Jun 21, 2022.