Individual
GINA M. DRAGONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HIGH ST, BUFFALO, NY 14203-1126
(716) 859-2175
Mailing address
726 EXCHANGE ST STE 300, BUFFALO, NY 14210-1467
(716) 859-8396
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308664
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
308664
NY LICENSE
NY
Enumeration date
07/18/2018
Last updated
07/18/2018
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