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Individual

ANNE GAINSBACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSOTR/L

Contact information

Practice address
435 GLENWOOD RD, BINGHAMTON, NY 13905-1606
(607) 763-3425
Mailing address
PO BOX 796, NEW MILFORD, PA 18834-0796
(607) 427-2742

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06346
NY

Other

Enumeration date
12/05/2010
Last updated
12/05/2010
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