Individual
MS. ANGELA M. GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 255-7672
Mailing address
601 ELMWOOD AVE BOX 670, ROCHESTER, NY 14642-0001
(585) 225-5767
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
310250
NY
363LF0000X
Family Nurse Practitioner
Primary
657094
NY
Other
Enumeration date
05/19/2021
Last updated
07/07/2023
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