Individual
GINA RAE AMICATERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
455 MAPLE ST, SUITE 2, BIG FLATS, NY 14814-9701
(607) 562-7300
(607) 562-7575
Mailing address
455 MAPLE ST, SUITE 2, BIG FLATS, NY 14814-9701
(607) 562-7300
(607) 562-7575
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
NS006779-1
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006714
PW
Other
Enumeration date
05/01/2013
Last updated
01/03/2017
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