Willsey, Gerald Allen

Willsey, Gerald Allen is an sole proprietor health care provider with primary practice located at 736 Irving Ave Emergency Services Office, Syracuse NY 13210-1687. He recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as his primary health care specialty. Willsey, Gerald Allen can be contacted via phone (315) 470-7308.

Contact Information

Primary practice address
736 Irving Ave Emergency Services Office Syracuse NY 13210-1687
Phone: (315) 470-7308
Fax: (315) 470-2693
Website:
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Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 000345-1 New York

Profile Details

NPI number 1881808459
LBN Legal business name Willsey, Gerald Allen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881808459 NPPES
New York Other 000345-1 REGISTRATION

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