Individual
GINA A TERESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3922 W MAIN STREET RD, BATAVIA, NY 14020-9467
(585) 344-1677
(585) 344-2105
Mailing address
3922 W MAIN STREET RD, BATAVIA, NY 14020-9467
(585) 344-1677
(585) 344-2105
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003841 1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010353901
CHOICE CARE
—
01
—
000500792003
BCWNY
—
01
—
000500792005
BCWNY DME
—
05
—
00928309
—
NY
01
—
01
ME LOCALITY
—
05
—
02205076
—
NY
01
—
051203000031
FIDELIS
—
01
—
1499716
GHI
—
01
—
5654324
AETNA
—
01
—
8904032
IH
—
01
—
9648089
GHI GROUP
—
01
—
AA1027
ME GROUP
—
01
—
CC9210
ME PIN
—
01
—
G0181304190
BLUE CHOICE GROUP
—
01
—
P010003841
BLUE CHOICE
—
Enumeration date
07/26/2006
Last updated
11/10/2015
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