Individual
VINCENT M. GEMELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1304 BUCKLEY ROAD, SUITE 302, SYRACUSE, NY 13212-4318
(315) 671-5790
(315) 671-5791
Mailing address
1001 W. FAYETTE STREET, SUITE 400, SYRACUSE, NY 13204-2866
(315) 472-1488
(315) 472-8060
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
005917
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02185188
—
NY
Enumeration date
03/24/2006
Last updated
03/06/2015
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