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Individual

DR. GARY OWEN GUILFOYLE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
AU.D.

Contact information

Practice address
18 PLEASANT ST, BALLSTON SPA, NY 12020-1819
(518) 885-0025
Mailing address
18 PLEASANT ST, BALLSTON SPA, NY 12020-1819
(518) 885-0025

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
1249-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000412015001
BLUE SHIELD NENY
NY
01
040426005829
FIDELIS
NY
01
10000820
CDPHP
NY
01
4800227
GHI
NY
01
922068
MVP
NY
01
M03821
EMPIRE BC BS
NY
Enumeration date
11/09/2005
Last updated
07/09/2007
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