Individual
STELLA GERSHKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4802 10TH AVENUE, BROOKLYN, NY 11219
(718) 283-6000
Mailing address
160 IRWIN STREET, BROOKLYN, NY 11235
(718) 646-1065
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
009510
NY
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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