Individual
GIA ASLANIDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1404 SARA CIR, PORT JEFFERSON STATION, NY 11776-2750
(516) 563-1147
Mailing address
1404 SARA CIR, PORT JEFFERSON STATION, NY 11776-2750
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383594
NY
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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