NPI 1881733103 · live from the CMS NPI Registry
Justina Aguirre Antonio, PA
Physician Assistant in Stamford, CT. National Provider Identifier 1881733103, active.
NPI record
| NPI | 1881733103 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 80 Mill River St, Stamford, CT 06902 |
| Practice phone | 203-348-7410 |
| Mailing address | 10 Franklin Ave, Unit 1c, White Plains, NY 10601 |
| Enumerated | February 5, 2007 |
| Last updated | December 2, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 001391 (CT) |
| Physician Assistant | 363A00000X | 007274-1 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.