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Individual

MRS. GINA MARIE DEVINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPA-C

Contact information

Practice address
64-51 CENTRAL AVENUE, GLENDALE, NY 11385
(718) 821-4424
(718) 456-1747
Mailing address
64-51 CENTRAL AVENUE, GLENDALE, NY 11385
(718) 821-4424
(718) 456-1747

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
010260
NY

Other

Enumeration date
07/16/2007
Last updated
07/16/2007
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