Individual
NOREEN MARY GILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RSA-O
Contact information
Practice address
PRUYN PAVILION 102 PARK STREET, GLENS FALLS, NY 12801-1280
(518) 793-5601
Mailing address
PRUYN PAVILION 102 PARK STREET, GLENS FALLS, NY 12801
(518) 793-5601
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
O000138-01
NY
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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