Individual
ANTONIO GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
82 AINSWORTH AVE, STATEN ISLAND, NY 10308-3020
(347) 330-5595
Mailing address
82 AINSWORTH AVE, STATEN ISLAND, NY 10308-3020
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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