Individual
DR. GRAHAM JAMES GORSLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP CRNA
Contact information
Practice address
101 DATES DR, ITHACA, NY 14850-1342
(762) 408-3230
Mailing address
525 WHITTED RD, ITHACA, NY 14850-6354
(607) 207-7263
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ01166900
NJ
Other
Enumeration date
01/12/2022
Last updated
11/21/2024
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