Individual
JUSTINA AGUIRRE ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
80 MILL RIVER ST, STAMFORD, CT 06902-3733
(203) 348-7410
Mailing address
10 FRANKLIN AVE, UNIT 1C, WHITE PLAINS, NY 10601-3848
(914) 686-5138
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001391
CT
363A00000X
Physician Assistant
007274-1
NY
Other
Enumeration date
02/05/2007
Last updated
12/02/2010
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