Individual
NICOLE GISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 SOUTH AVE, ROCHESTER, NY 14620
(585) 341-0888
Mailing address
1000 SOUTH AVE, ROCHESTER, NY 14620-2782
(585) 341-0888
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
292310
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
292310
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
292310
NY
Other
Enumeration date
06/09/2013
Last updated
06/30/2023
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