Individual
MICHAEL SCOTT WILLSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
100 WASHINGTON ST, ELMIRA, NY 14901-2849
(607) 737-4700
Mailing address
1115 RICHARD ST, ELMIRA, NY 14904-2720
(607) 333-0772
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
495439
NY
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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