Provider Demographics
NPI:1447667373
Name:TAFFURI, GINA
Entity type:Individual
Prefix:MRS
First Name:GINA
Middle Name:
Last Name:TAFFURI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 BROADWAY
Mailing Address - Street 2:APT 5D
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-2332
Mailing Address - Country:US
Mailing Address - Phone:845-729-6181
Mailing Address - Fax:
Practice Address - Street 1:465 BROADWAY
Practice Address - Street 2:APT 5D
Practice Address - City:HASTINGS ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10706-2332
Practice Address - Country:US
Practice Address - Phone:845-729-6181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-11
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY813660141174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist