Individual
MARCY A. GAMBINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1729 BURRSTONE RD, NEW HARTFORD, NY 13413-1001
(315) 798-1662
(315) 798-1646
Mailing address
1729 BURRSTONE RD, NEW HARTFORD, NY 13413-1001
(315) 798-1662
(315) 798-1646
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
010365
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010365
NEW YORK STATE LICENSE
NY
Enumeration date
08/08/2006
Last updated
02/20/2008
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