Individual
THOMAS GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
675 STATE ROUTE 3, PLATTSBURGH, NY 12901-6562
(518) 566-0672
(518) 566-0641
Mailing address
483 COOLIDGE HILL RD, DIAMOND POINT, NY 12824-2011
(518) 578-1703
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
005798
NY
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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