Individual
ANNETTE GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
620 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-3600
Mailing address
620 MADISON ST, SYRACUSE, NY 13210-2319
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
705930
NY
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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