Individual
KEVIN E GASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-4363
(315) 464-8690
Mailing address
251 SALINA MEADOWS PKWY, STE 100, SYRACUSE, NY 13212-4516
(315) 464-2096
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
276967
NY
207Q00000X
Family Medicine Physician
36227
AZ
Other
Enumeration date
06/21/2007
Last updated
08/17/2015
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