Individual
TAYLOR ELIZABETH GILLETTE DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
357 GENESEE ST STE 2, ONEIDA, NY 13421-2658
(518) 409-2025
Mailing address
9717 POWELL RD, HOLLAND PATENT, NY 13354-4336
(518) 409-2025
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/13/2021
Last updated
06/18/2022
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