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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARLO IVAN GWARDSCHALADSE, PA

Active

CARLO IVAN GWARDSCHALADSE, PA is a Physician Assistant healthcare provider located in HAWTHORNE, New York. NPI 1386639441 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · HAWTHORNE, NY

Registration Details

NPI Number
1386639441
Provider Type
Individual
Gender
Male
NPI Issued
Sep 15, 2005 (20.869374287766 yrs)
Last Updated
May 5, 2008
License
005375 (NY)

Practice Information

Address
19 BRADHURST AVE
HAWTHORNE, NY, 105322139
Browse NY providers · Browse ZIP 10532
Phone
9143450162
Fax
9143474401
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in HAWTHORNE, NY

Name Credential NPI
JANET WYNNE-BROSIUS PA 1568462794
MR. WAGIH IBRAHIM R.S.A 1982877296
MAUREEN MCGUIRE 1437542412
ALESSANDRA MACCORMACK PA-C 1730551755
SARA POMERANTZ LEE PA 1174091045
JESSICA CHRISTIANE CLOUGH PA-C 1427513530
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.