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Individual

DR. GINA C. DELSAVIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
219 BLOOMING GROVE TPKE, NEW WINDSOR, NY 12553-7769
(845) 561-8060
(845) 561-8523
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4057
(845) 703-6999
(845) 703-6297

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
192639
NY
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
192639
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000032781
GHI HMO #
NY
01
010192639NY01
ANTHEM HEALTH #
NY
05
01666848
NY
01
0599985
GHI PPO #
NY
01
0910348
AETNA HMO #
NY
01
141796305
TAX IDENTIFICATION #
NY
01
200025439
RR MDCR #
NY
01
5481210
AETNA PPO #
NY
01
67H401
EMPIRE BC/BS (NEW WINDSR)
NY
01
67H403
EMPIRE BC/BS (NEW PALTZ)
NY
01
956374
MVP PROVIDER #
NY
01
P378075
OXFORD PROVIDER #
NY
Enumeration date
05/31/2005
Last updated
08/10/2020
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