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Christine Luda Gordynskiy-ageyev

NPI Registration Record

Provider / OrganizationNPIDate Certified
CHRISTINE LUDA GORDYNSKIY-AGEYEV19025372102022-06-19

Christine Luda Gordynskiy-ageyev is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1902537210. Registration indicates Christine Luda Gordynskiy-ageyev is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)

Entity TypeIndividual
Provider Name Christine Luda Gordynskiy-ageyev PAC
Practice Office Address3850 WOODHAVEN RD UNIT 1006
PHILADELPHIA, PA US
Practice Office Telephone2153904128
Mailing Address3850 WOODHAVEN RD UNIT 1006
PHILADELPHIA, PA 191542762 US
Business Telephone2153904128
HPT Codes
CodePractice
License No
State
363A00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician AssistantAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
All Other Specialties & Provider Types

Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
MA063604
PA
OPI Codes
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