Individual provider · Type 1 NPI

Megan St. Clair Gilmore, PA-C

Surgical Physician Assistant · New York, NY

NPI number 1912569690 Active

Practice location

462 1st Ave
New York, NY 10016-9196

Call (212) 562-4141 Map

Mailing address

9 Ceramar Dr
Penfield, NY 14526-2814

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

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About NPI 1912569690

Megan St. Clair Gilmore, PA-C's National Provider Identifier is 1912569690, issued on Jul 2, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Jul 2, 2019.