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Millard C. Gumtow
Licensed Practical Nurse in Syracuse, New York
NPI 1457674061

Millard C. Gumtow is a Licensed Practical Nurse based in Syracuse, NY. Millard C. Gumtow practices in Syracuse, NY. The NPI Number for Millard C. Gumtow is 1457674061 and holds a License No. 10-241560 (New York).

The current practice location address for Millard C. Gumtow is 1050 W Genesee St, Syracuse, NY and can be reached out via phone at 315-424-3744 and via fax at 315-424-3745. You can also correspond with Millard C. Gumtow through the mailing address at 1050 W GENESEE ST, SYRACUSE, NY - 13204-2215 (mailing address contact number: 315-424-3744).

Location: 1050 W Genesee St, Syracuse, NY, 13204-2215
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457674061
Provider Name
Millard C. Gumtow
Credential
Provider Entity Type
Individual
Gender
Male
Address
1050 W Genesee St, Syracuse, NY, 13204-2215
Phone Number
315-424-3744
Fax Number
315-424-3745
Provider Enumeration Date
03/10/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1050 W Genesee St
City
Syracuse
State
New York
Zip
13204-2215
Phone Number
315-424-3744
Fax Number
315-424-3745
person
Provider Business Mailing Address Details
Address
1050 W Genesee St
City
Syracuse
State
New York
Zip
13204-2215
Phone Number
315-424-3744
Fax Number
315-424-3745
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
10-241560 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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