Siracusano, Gina

Siracusano, Gina is an sole proprietor health care provider with primary practice located at 630 Mastic Rd Ste 4 , Mastic Beach NY 11951-1020. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Siracusano, Gina can be contacted via phone (631) 704-1899.

Contact Information

Primary practice address
630 Mastic Rd Ste 4 Mastic Beach NY 11951-1020
Phone: (631) 704-1899
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 002663-01 New York

Profile Details

NPI number 1790384410
LBN Legal business name Siracusano, Gina
Credentials ATC, CES
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2020
Last updated Oct 23rd, 2020 - about 4 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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