Marilyn Rose Gonnella, MA

NPI #1104283647 in East Syracuse, New York

Provider Information

NPI Number: 1104283647
Entity Type: Individual
Name: Marilyn Rose Gonnella, MA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MA
Enumeration Date: Jan 27, 2016
Last Updated: Jan 27, 2016

Practice Location

Address: 5820 HERITAGE LANDING DR
City: East Syracuse
State: New York
ZIP Code: 13057-9378
Phone: (315) 701-1107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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