Provider Demographics
NPI:1679835755
Name:DMCGINNIS, INC.
Entity type:Organization
Organization Name:DMCGINNIS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MCGINNIS
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:347-262-8654
Mailing Address - Street 1:158 DALTON AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-2117
Mailing Address - Country:US
Mailing Address - Phone:718-987-2167
Mailing Address - Fax:718-227-5899
Practice Address - Street 1:158 DALTON AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-2117
Practice Address - Country:US
Practice Address - Phone:718-987-2167
Practice Address - Fax:718-227-5899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty