Individual
GABRIELLE MARI MASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4440 BRICKYARD FALLS RD, MANLIUS, NY 13104-9572
(315) 552-4695
Mailing address
4440 BRICKYARD FALLS RD, MANLIUS, NY 13104-9572
(315) 552-4695
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
348181
NY
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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