Individual
GAIL ANN MATHIESON-DEVEREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4211 STATE HIGHWAY 220, OXFORD, NY 13830-4305
(607) 843-3121
Mailing address
500 GILLEN DR, BINGHAMTON, NY 13903-5942
(607) 722-7659
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F330362
NY
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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