National Provider Identifier
Gina Marie Mahar, M.S., ED.
Gina Marie Mahar, M.S., ED. is listed in the NPPES registry with a primary specialty of Specialist in Victor, NY and a listed phone number of (585) 924-7207.
Profile Overview
- NPI
- 1093077471
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 12, 2012
- Last Updated
- March 09, 2020
Practice Location
- 590 Fishers Station Dr
- Suite 130
- Victor, NY 14564-9744
Phone: (585) 924-7207
Specialties
- Specialist (174400000X)
Endpoints
- gruttadg@clinassoc.com
Direct Messaging Address | Victor, NY 14564
Work Email
Full Record
- NPI
- 1093077471
- Entity Type
- Individual
- Last Name
- Mahar
- First Name
- Gina
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- M.S., ED.
- Provider Other Last Name
- Gruttadauria
- Provider Other First Name
- Gina
- Provider Other Middle Name
- Marie
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- M.S., ED.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 590 Fishers Station Dr
- Mailing Address Line 2
- Suite 130
- Mailing City
- Victor
- Mailing State
- NY
- Mailing ZIP Code
- 14564-9744
- Mailing Country
- US
- Mailing Phone
- (585) 924-7207
- Mailing Fax
- (585) 924-7049
- Practice Street Address
- 590 Fishers Station Dr
- Practice Address Line 2
- Suite 130
- Practice City
- Victor
- Practice State
- NY
- Practice ZIP Code
- 14564-9744
- Practice Country
- US
- Practice Phone
- (585) 924-7207
- Practice Fax
- (585) 924-7049
- Enumeration Date
- June 12, 2012
- Last Updated
- March 09, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 09, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)