Individual
GINA EDUCATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1658 CHAMPLIN AVE, SUITE 203, UTICA, NY 13502
(315) 624-4915
(315) 624-8310
Mailing address
2209 GENESEE STREET, BUSINESS OFFICE -ROOM 315, UTICA, NY 13501-5930
(315) 801-3282
(315) 801-8391
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0208206
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05212560
—
NY
Enumeration date
06/26/2018
Last updated
04/10/2020
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