Provider Demographics
NPI:1699778977
Name:DELSAVIO, GINA C (MD)
Entity type:Individual
Prefix:DR
First Name:GINA
Middle Name:C
Last Name:DELSAVIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 CRYSTAL RUN RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-4057
Mailing Address - Country:US
Mailing Address - Phone:845-703-6999
Mailing Address - Fax:845-703-6297
Practice Address - Street 1:219 BLOOMING GROVE TPKE
Practice Address - Street 2:
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-7769
Practice Address - Country:US
Practice Address - Phone:845-561-8060
Practice Address - Fax:845-561-8523
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY192639207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0910348OtherAETNA HMO #
NY67H403OtherEMPIRE BC/BS (NEW PALTZ)
NY5481210OtherAETNA PPO #
NY000000032781OtherGHI HMO #
NY200025439OtherRR MDCR #
NY67H401OtherEMPIRE BC/BS (NEW WINDSR)
NY141796305OtherTAX IDENTIFICATION #
NY01666848Medicaid
NY0599985OtherGHI PPO #
NY956374OtherMVP PROVIDER #
NYP378075OtherOXFORD PROVIDER #
NY010192639NY01OtherANTHEM HEALTH #
NY01666848Medicaid
NY0910348OtherAETNA HMO #