Individual
DR. ANNA VLADIMIROVNA GAVRILINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-5540
Mailing address
210 W DIVISION ST APT 9, SYRACUSE, NY 13204-1575
(630) 805-2662
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ASO552489571
NY
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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