Individual
MS. LISA SIOBHAN GIRARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-7200
Mailing address
500 W 235TH ST, APT 6G, BRONX, NY 10463-1827
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
012959
NY
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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