MRS. Andrea Michelle Gaines

NPI #1275888562 in Sag Harbor, New York

Provider Information

NPI Number: 1275888562
Entity Type: Individual
Name: MRS. Andrea Michelle Gaines
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jul 23, 2012
Last Updated: Jul 23, 2012

Practice Location

Address: 11 LAUREL TRL
City: Sag Harbor
State: New York
ZIP Code: 11963-2409
Phone: (631) 899-3692

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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