National Provider Identifier

Gina Rae Amicaterra, DPM

Gina Rae Amicaterra, DPM is listed in the NPPES registry with a primary specialty of Foot & Ankle Surgery Podiatrist in Big Flats, NY and a listed phone number of (607) 562-7300.

NPI 1134564354Big Flats, NYFoot & Ankle Surgery Podiatrist

Profile Overview

NPI
1134564354
Provider Type
Individual
Primary Specialty
Foot & Ankle Surgery Podiatrist
Enumeration Date
May 01, 2013
Last Updated
January 03, 2017

Practice Location

  • 455 Maple St
  • Suite 2
  • Big Flats, NY 14814-9701

Phone: (607) 562-7300

Specialties

  • Foot & Ankle Surgery Podiatrist (213ES0103X)
  • Foot & Ankle Surgery Podiatrist (213ES0103X)
Full Record
NPI
1134564354
Entity Type
Individual
Last Name
Amicaterra
First Name
Gina
Middle Name
Rae
Credential
DPM
Provider Other Last Name
Fredericks
Provider Other First Name
Gina
Provider Other Middle Name
Rae
Provider Other Last Name Type Code
1
Mailing Street Address
455 Maple St
Mailing Address Line 2
Suite 2
Mailing City
Big Flats
Mailing State
NY
Mailing ZIP Code
14814-9701
Mailing Country
US
Mailing Phone
(607) 562-7300
Mailing Fax
(607) 562-7575
Practice Street Address
455 Maple St
Practice Address Line 2
Suite 2
Practice City
Big Flats
Practice State
NY
Practice ZIP Code
14814-9701
Practice Country
US
Practice Phone
(607) 562-7300
Practice Fax
(607) 562-7575
Enumeration Date
May 01, 2013
Last Updated
January 03, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Foot & Ankle Surgery Podiatrist (213ES0103X), Foot & Ankle Surgery Podiatrist (213ES0103X)