Individual provider · Type 1 NPI

Lisa Siobhan Girardin, PA-C

Surgical Physician Assistant · Bronx, NY

NPI number 1972836005 Active

Practice location

111 E 210th St
Bronx, NY 10467-2401

Mailing address

500 W 235th St, Apt 6G
Bronx, NY 10463-1827

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X012959 (NY)

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About NPI 1972836005

Lisa Siobhan Girardin, PA-C's National Provider Identifier is 1972836005, issued on Sep 8, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bronx, NY. The record was last updated on Sep 8, 2009.