Individual provider · Type 1 NPI

Gavin Smiley Gullickson, DO

Diagnostic Radiology Physician · Syracuse, NY

NPI number 1508493545 Active

Practice location

750 E Adams St
Syracuse, NY 13210-2306

Fax (315) 464-7494

Mailing address

224 Harrison St Ste 601
Syracuse, NY 13202-3186

Other practice locations

  • 45 Reade Pl, Poughkeepsie, NY 12601-3947 · (845) 790-2085

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician Primary 2085R0202X337231 (NY)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1,990 other providers at this address

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About NPI 1508493545

Gavin Smiley Gullickson, DO's National Provider Identifier is 1508493545, issued on Mar 26, 2020. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Syracuse, NY. The record was last updated on Jun 17, 2025.