GINA F LIDESTRI PA
NPI 1043403868
Physician Assistant - Medical in Bristol, CT

Active since August 24, 2007
41 BREWSTER RD, BRISTOL, CT 06010(860) 585-3313 Get Directions Write a Review

NPPES record last updated: January 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gina F Lidestri Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GINA F LIDESTRI PA (NPI 1043403868) is an individual medical provider in Bristol, Connecticut, licensed in Connecticut (001942) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1043403868
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameGINA F LIDESTRICredential: PA
Location Address41 BREWSTER RDBristol, CT 06010-5161
Mailing Address41 Brewster RdBristol, CT 06010-5161 · (860) 585-3313
Sole ProprietorNo
Enumeration DateAugust 24, 2007
Last NPPES UpdateJanuary 21, 2012
NPI 1043403868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CT · 001942
Also ListedPhysician AssistantTaxonomy 363A00000X · License 001942 (CT)
41 BREWSTER RD, Bristol, CT 06010

Other Names 1

Former Name (1)Gina F Mangari Pa

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
41 BREWSTER RD
BRISTOL, CT 06010
Emergency Medicine
41 BREWSTER RD
BRISTOL, CT 06010
Psychiatric Unit
41 BREWSTER RD
BRISTOL, CT 06010
Anesthesiology
41 BREWSTER RD
BRISTOL, CT 06010
Student in an Organized Health Care Education/Training Program
41 BREWSTER RD
BRISTOL, CT 06010
Anesthesiology
41 BREWSTER RD
BRISTOL, CT 06010
Internal Medicine
41 BREWSTER RD
BRISTOL, CT 06010
Dietitian, Registered
41 BREWSTER RD
BRISTOL, CT 06010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gina Lidestri's NPI number?

The NPI number for Gina Lidestri is 1043403868. It was assigned to this individual provider in the NPPES registry on August 24, 2007. The provider is also known as Gina F Mangari PA.

Where is Gina Lidestri located?

Gina Lidestri practices at 41 Brewster Rd, Bristol, CT 06010. The listed phone number is (860) 585-3313.

What is Gina Lidestri's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Gina Lidestri was last updated on January 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.