Individual
GABRIELLE LOUISE DIVERNIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
241 NORTH ROAD, POUGHKEEPSIE, NY 12601
(845) 483-5000
Mailing address
241 NORTH ROAD, POUGHKEEPSIE, NY 12601
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/26/2016
Last updated
05/10/2017
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