Individual
GILLIAN CASSELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S
Contact information
Practice address
1519 NYE RD, LYONS, NY 14489-9133
(315) 946-5722
Mailing address
1519 NYE RD, LYONS, NY 14489-9133
(315) 946-5722
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00357502
—
NY
Enumeration date
01/09/2009
Last updated
01/09/2009
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