Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carlo Ivan Gwardschaladse, PA

Individual provider Physician Assistant · NPI 1386639441

Carlo Ivan Gwardschaladse, PA is a Physician Assistant in Hawthorne, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

19 Bradhurst Ave
Hawthorne, NY 10532-2139
Phone: (914) 345-0162
Fax: (914) 347-4401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 005375 (NY)

Record details

NPI number1386639441
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 15, 2005
Last updated in NPPESMay 5, 2008

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