Individual
GINA BRANDOLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
160 STONE ST, WATERTOWN, NY 13601-3250
(315) 788-8065
(315) 222-7432
Mailing address
160 STONE ST, WATERTOWN, NY 13601-3250
(315) 788-8065
(315) 222-7432
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382645
NY
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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