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Individual

VICTOR D GAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 COLUMBIA ST, VBMC COLUMBIA ST, POUGHKEEPSIE, NY 12601-3923
(845) 454-4700
(845) 454-4982
Mailing address
2678 SOUTH RD STE 202, POUGHKEEPSIE, NY 12601-5254
(845) 790-5700
(845) 790-5719

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
154174
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00772261
NY
Enumeration date
07/15/2005
Last updated
04/09/2018
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