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

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700XNone listed

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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.