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1134548787
ANTONIO GAINES
STATEN ISLAND, NY
NPI
1134548787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2014-04-10
Last Update Date
2014-04-10
Business Address
-- ANTONIO GAINES M.D.
82 AINSWORTH AVE
STATEN ISLAND, NY 10308-3020
Phone number: 347-330-5595
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Mailing Address
-- ANTONIO GAINES M.D.
82 AINSWORTH AVE
STATEN ISLAND, NY 10308-3020
Phone number:
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