Individual
DR. GINA THERESE WAIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
622 W 168TH ST, VC 2, STE 260, NEW YORK, NY 10032-3720
(212) 305-2995
Mailing address
1400 PELHAM PKWY S, 1B25, BUILDING 6, BRONX, NY 10461-1138
(718) 918-5822
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
275288
NY
Other
Enumeration date
03/31/2010
Last updated
07/31/2014
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