Individual provider · Type 1 NPI

Andrea Johnnidis-Klein, PA

Surgical Physician Assistant · Mineola, NY

NPI number 1962559336 Active

Practice location

190 E Jericho Tpke
Mineola, NY 11501-2033

Mailing address

62 Rugby Rd
Rockville Centre, NY 11570-1841

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X008393 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1962559336

Andrea Johnnidis-Klein, PA's National Provider Identifier is 1962559336, issued on Jan 5, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Mineola, NY. The record was last updated on Jul 8, 2007.