Individual
CONNOR GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2211 GENESEE ST, UTICA, NY 13501-5930
(315) 801-3329
(315) 801-8488
Mailing address
2211 GENESEE ST, UTICA, NY 13501-5930
(315) 801-3329
(315) 801-8488
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03508674
—
NY
Enumeration date
09/20/2012
Last updated
01/08/2016
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