Individual
EMILY GAGLIARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2530 30TH RD, ASTORIA, NY 11102-2615
(718) 932-1000
Mailing address
14 1ST ST, LYNBROOK, NY 11563-4104
(516) 205-6663
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
029081-01
NY
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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