Individual
IAN EDWARD GILCHRIEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 TERRACEVIEW RD, SYRACUSE, NY 13214-1209
(315) 882-4507
Mailing address
101 TERRACEVIEW RD, SYRACUSE, NY 13214-1209
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
024389
NY
363A00000X
Physician Assistant
024389
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2019
Last updated
05/07/2024
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