Kourgialis, Ashley

Kourgialis, Ashley is an individual health care provider with primary practice located at 30 Prospect Ave , Hackensack NJ 07601-1915. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Kourgialis, Ashley can be contacted via phone (551) 996-5430.

Contact Information

Primary practice address
30 Prospect Ave Hackensack NJ 07601-1915
Phone: (551) 996-5430
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1639665441
LBN Legal business name Kourgialis, Ashley
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2018
Last updated Jun 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639665441 NPPES
New Jersey Other 25MP00614100 NJ STATE MEDICAL LICENSE

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