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Individual

DEBRA J GATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER A

Contact information

Practice address
RRHS CLIFTON SPRINGS HOSPITAL AND CLINIC - ENDOCRINE, 2 COULTER RD, CLIFTON SPRINGS, NY 14432
(315) 462-1530
Mailing address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 795-2820
(607) 795-2821

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
301635
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
217858BS
PREFERRED CARE
01
P019301635
BLUE CHOICE
Enumeration date
01/14/2008
Last updated
09/03/2024
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