Individual
MISS MEGAN ST. CLAIR GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4141
Mailing address
9 CERAMAR DR, PENFIELD, NY 14526-2814
(585) 747-6050
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NY
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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