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Individual

EVAN GINSBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
81 N BROADWAY, HICKSVILLE, NY 11801-2920
(516) 933-4350
(516) 933-4352
Mailing address
81 N BROADWAY, HICKSVILLE, NY 11801-2920
(516) 933-4350
(516) 933-4352

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9117168
FL
363A00000X
Physician Assistant
Primary

Other

Enumeration date
07/21/2016
Last updated
03/31/2024
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