Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 229926 | NY |
Y | 111NI0900X | Internist | 229926 | NY |
N | 207RG0300X | Geriatric Medicine | 229926 | NY |
N | 207RH0002X | Hospice and Palliative Medicine | 229926 | NY |
NPI | 1215994330 |
---|---|
Provider Name | Suzanne M Gillespie |
First Address | Rochester, NY 14642-0001 |
Second Address | Rochester, NY 14620-4629 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 08/09/2008 |