Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 300878 | NY |
NPI | 1366896672 |
---|---|
Provider Name | Gabriela Palacio |
First Address | Rochester, NY 14617-5504 |
Second Address | Rochester, NY 14621-3011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2016 |
Last Update Date | 09/09/2021 |