Provider Demographics
NPI:1194464834
Name:FERRERO, GINA P
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:P
Last Name:FERRERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GINA
Other - Middle Name:P
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:345 GARDEN AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10553-2013
Mailing Address - Country:US
Mailing Address - Phone:954-319-9932
Mailing Address - Fax:
Practice Address - Street 1:345 GARDEN AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10553-2013
Practice Address - Country:US
Practice Address - Phone:954-319-9932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-01
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management