NPI 1033706965

Augustine Gnalian, PAC

Practitioner Physician Assistant Astoria, NY

Practice location

Address: 2510 30th Ave, Astoria, NY 11102-2418
Phone: (718) 932-1000
Mailing address: 2510 30th Ave, Astoria, NY 11102-2448

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 026096 (NY)

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Registry record

NPI: 1033706965
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Dec 2020
Record last updated: 13 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.