GABRIELLE GANNON

STATEN ISLAND, NY
NPI1669169835
Former NameGABRIELLE FLIORENT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  031131)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NJ  25MP00826400)
Enumeration Date2023-04-19
Last Update Date2024-11-08
Business Address
GABRIELLE GANNON
2960 VICTORY BLVD
STATEN ISLAND, NY 10314-6605
Phone number: 718-370-2014
Mailing Address
GABRIELLE GANNON
484 TEMPLE HILL RD STE 102
NEW WINDSOR, NY 12553-5529
Phone number: