Brothers, Gina A

Brothers, Gina A is an individual health care provider with primary practice located at 5100 W Taft Rd Suite 4-D, Liverpool NY 13088-3807. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Brothers, Gina A can be contacted via phone (315) 458-6669.

Contact Information

Primary practice address
5100 W Taft Rd Suite 4-D Liverpool NY 13088-3807
Fax: (315) 458-0819
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X F3006101 New York

Profile Details

NPI number 1811961725
LBN Legal business name Brothers, Gina A
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jun 21st, 2012 - about 12 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 1811961725 NPPES
New York MEDICAID 02287027

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