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Individual

DR. ANNIE I GINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
1692 CENTRAL AVE, ALBANY, NY 12205
(518) 869-5799
(518) 862-1489
Mailing address
1692 CENTRAL AVE, ALBANY, NY 12205
(518) 869-5799
(518) 862-1489

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
FLP00002434
FL
213E00000X
Podiatrist
Primary
NY002852
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000405662003
BS
05
00558961
NY
01
10000761
CDPHP
01
13722
GHI HMO
01
480011429
RAILROAD MEDICARE
01
8999992
GHI PPO
01
956200
MVP
01
P32442
BCBS
Enumeration date
04/28/2006
Last updated
12/09/2008
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