Individual
LAURA C GOSNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 BROAD ST, GLENS FALLS, NY 12801-4349
(518) 792-2223
(518) 792-8231
Mailing address
9 CAREY RD, QUEENSBURY, NY 12804-7880
(518) 761-0300
(518) 824-2388
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
016902
NY
363AS0400X
Surgical Physician Assistant
Primary
016902
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04054775
—
NY
Enumeration date
09/23/2013
Last updated
07/24/2025
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