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Individual
MISS GINA PALCONET
Active
Individual
MISS GINA PALCONET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
019732
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000499407002
HEALTHNOW
NY
01
—
1000031188
AFFINITY
NY
01
—
2330866
UNITED HEALTHCARE
NY
01
—
299647
WELLCARE
NY
01
—
43993
MVP
NY
01
—
6606566
GHI PPO
NY
01
—
90220
GHI HMO
NY
01
—
Q18N51
BCBS-NY
NY
Enumeration date
11/17/2006
Last updated
11/27/2007
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