Individual
SUSIE MAE GATEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
281 W RIDGE RD, ROCHESTER, NY 14615-2927
(585) 324-5919
Mailing address
281 W RIDGE RD, ROCHESTER, NY 14615-2927
(585) 324-5919
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
565815
NY
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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