Individual
JAMES STANLEY GILMORE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRPA-P
Contact information
Practice address
380 FREEVILLE RD, FREEVILLE, NY 13068-9684
(607) 844-6490
Mailing address
380 FREEVILLE RD, FREEVILLE, NY 13068-9684
(607) 844-6490
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-P-7066
NY
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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