Individual
LISA MARIE GUCCIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4 COMMERCE LANE, CANTON, NY 13617
(315) 386-8191
(315) 386-1410
Mailing address
4 COMMERCE LANE, CANTON, NY 13617
(315) 386-8191
(315) 386-1410
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0053414
NY
Other
Enumeration date
03/27/2006
Last updated
07/08/2007
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