Individual
MRS. DAWN ANITA GINESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
96 PROSPECT HILL RD, CLINTON CORNERS, NY 12514-2450
(845) 266-3963
Mailing address
96 PROSPECT HILL RD, CLINTON CORNERS, NY 12514-2450
(845) 266-3963
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
473287-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01664671
—
NY
Enumeration date
05/21/2007
Last updated
07/09/2007
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