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
Phone: (315) 458-6669
Fax: (315) 458-0819
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811961725 | NPPES |
New York | MEDICAID | 02287027 |
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