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

MS. HANNA MARDAKH, PA

Active Sole Proprietor

MS. HANNA MARDAKH, PA is a Physician Assistant healthcare provider located in STATEN ISLAND, New York. NPI 1588034946 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · STATEN ISLAND, NY

Registration Details

NPI Number
1588034946
Provider Type
Individual
Gender
Female
NPI Issued
Sep 29, 2015 (10.862588914272 yrs)
Last Updated
Sep 29, 2015
License
018932 (NY)
Sole Proprietor
Yes

Practice Information

Address
269 ASHLAND AVE
STATEN ISLAND, NY, 103093002
Browse NY providers · Browse ZIP 10309
Phone
9173308988
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in STATEN ISLAND, NY

Name Credential NPI
ELAINA M CAPORALE PA-C 1275524043
CLARE A BEAGEN-MCHUGH PA 1295718856
MRS. WENDY ALEXANDRA SIMONS PHYSICIAN ASSISTANT 1124095328
ROBERT F CARLUCCI MD 1386603405
JAMES VINCENT RUSSO PA 1194785725
DANIELLE MARIE GRANDNER PA 1053371591
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.