Individual
EMILY GLISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8393 ELTA DRIVE, CICERO, NY 13039-8714
(315) 698-0290
(315) 698-0291
Mailing address
8393 ELTA DRIVE, CICERO, NY 13039-8714
(315) 698-0290
(315) 698-0291
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
338789
NY
Other
Enumeration date
06/24/2014
Last updated
11/07/2014
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