Individual
ELAINE SHEILA GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6800 PITTSFORD PALMYRA RD STE 150, FAIRPORT, NY 14450-3503
(585) 364-1177
(585) 678-9654
Mailing address
6800 PITTSFORD PALMYRA RD STE 150, FAIRPORT, NY 14450-3503
(585) 364-1177
(585) 678-9654
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
045410
CT
207N00000X
Dermatology Physician
Primary
248998
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03015785
—
NY
Enumeration date
06/19/2007
Last updated
09/20/2018
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