Individual
EVANGELIA PAGIAZITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12510 QUEENS BLVD, KEW GARDENS, NY 11415-1519
(718) 261-0444
Mailing address
1999 DECKER AVE, MERRICK, NY 11566-2123
(516) 623-0577
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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