Individual
MS. HOLLIE G. GAYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1400 PELHAM PKWY S, BUILDING #4 ROOM 7N12, BRONX, NY 10461-1138
(718) 918-6197
(718) 918-4074
Mailing address
2465 PALISADE AVE APT 3D, BRONX, NY 10463-6213
(718) 601-8542
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004647-1
NY
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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