Individual
ABDUL AUGUSTUS GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2605 S SALINA ST, SYRACUSE, NY 13205-1526
(315) 278-2220
Mailing address
2605 S SALINA ST, SYRACUSE, NY 13205-1526
(315) 278-2220
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
287058
NY
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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