MEDICARE: GINA DAY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	225404	NY

General Provider Information

NPI Number	:	1689625782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GINA DAY M.D.

Provider Business Mailing Address
First Line	:	10201 66TH RD
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-2029
Country	:	US
Telephone Number	:	718-830-1298
Fax Number	:	718-830-4908

Provider Business Practice Location Address
First Line	:	535 CLINTON AVE
Second Line	:	BASEMENT
City	:	BROOKLYN
State	:	NY
Zip	:	11238-2201
Country	:	US
Telephone Number	:	646-962-9087
Fax Number	:	646-962-0485

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2006
Last Update Date	:	02/07/2017

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