Individual
TAMARA D GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91 FILLMORE ST, ROCHESTER, NY 14611-2511
(585) 313-6670
Mailing address
91 FILLMORE ST, ROCHESTER, NY 14611-2511
(585) 313-6670
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
342762149
NY
Other
Enumeration date
01/05/2021
Last updated
02/08/2021
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