Individual
ALLISON CRANE GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
601 ELMWOOD AVE, BOX HMD, ROCHESTER, NY 14642-0001
(585) 275-4912
(585) 271-2106
Mailing address
601 ELMWOOD AVE, BOX HMD, ROCHESTER, NY 14642-0001
(585) 275-4912
(585) 271-2106
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013423
NY
363AM0700X
Medical Physician Assistant
13423
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03142312
—
NY
Enumeration date
08/27/2009
Last updated
07/06/2023
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