Individual
MRS. CLARE ELIZABETH GAVIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
86 FOUR ROD RD, ALDEN, NY 14004-9413
(716) 359-4855
Mailing address
86 FOUR ROD RD, ALDEN, NY 14004-9413
(716) 359-4855
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
646615-01
NY
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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