Provider Demographics
NPI:1194775320
Name:GINDINA, GALINA (DO)
Entity type:Individual
Prefix:
First Name:GALINA
Middle Name:
Last Name:GINDINA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14460 GRAVETT RD
Mailing Address - Street 2:SUIT 1G
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1351
Mailing Address - Country:US
Mailing Address - Phone:917-667-5531
Mailing Address - Fax:
Practice Address - Street 1:909 STRAWBERRY LN
Practice Address - Street 2:SFHC
Practice Address - City:CLAYTON
Practice Address - State:NY
Practice Address - Zip Code:13624
Practice Address - Country:US
Practice Address - Phone:315-686-2094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY238587-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine