Organization
UNIVERSAL DERMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELAINE SHEILA GILMORE M.D. (PHYSICIAN)
(585) 953-3620
Entity
Organization
Contact information
Practice address
6800 PITTSFORD PALMYRA RD STE 150, FAIRPORT, NY 14450-3503
(585) 953-3620
Mailing address
6800 PITTSFORD PALMYRA RD STE 150, FAIRPORT, NY 14450-3503
(585) 953-3620
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
248998
NY
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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