Healthcare Provider Details

I. General information

NPI: 1932025657
Provider Name (Legal Business Name): GINACARE COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 N LEXINGTON AVE APT 1117
WHITE PLAINS NY
10601-1759
US

IV. Provider business mailing address

54 STATE ST STE 804
ALBANY NY
12207-2524
US

V. Phone/Fax

Practice location:
  • Phone: 210-944-3611
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: GINA DIEUVEUILLE
Title or Position: OWNER
Credential:
Phone: 210-944-3611