Individual
PARKER GENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
134 RIVERSIDE DR, BINGHAMTON, NY 13905-4219
(607) 723-9018
(607) 723-0715
Mailing address
100 FOSTER RD, VESTAL, NY 13850-5412
(607) 786-9072
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005004
NY
Other
Enumeration date
07/13/2005
Last updated
11/19/2013
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