Individual
TANYA GAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
75 SEMINARY HILL RD, CARMEL, NY 10512-1921
(518) 952-8142
(518) 952-8109
Mailing address
PO BOX 31094, HARTFORD, CT 06150-1094
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009829-1
NY
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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