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Individual

ERIN NICOLE GIARDINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C, ATC

Contact information

Practice address
825 NORTHERN BLVD STE 201, GREAT NECK, NY 11021-5323
(516) 773-7500
Mailing address
825 NORTHERN BLVD STE 201, GREAT NECK, NY 11021-5323
(516) 773-7500

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
67002914
NY
363A00000X
Physician Assistant
Primary
024240
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
67002914
ATHLETIC TRAINING LICENSE
NY
Enumeration date
05/14/2019
Last updated
10/02/2024
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