Individual
OLGA GASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
969 MAIN ST STE D, FISHKILL, NY 12524
(845) 896-7730
(845) 896-7758
Mailing address
969 MAIN ST STE D, FISHKILL, NY 12524-1791
(845) 896-7730
(845) 896-0273
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
022024-1
NY
363A00000X
Physician Assistant
MA056899
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05427436
—
NY
Enumeration date
07/22/2014
Last updated
06/11/2019
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