Search › New York › 363AM0700X
Mikayla Van Gorder, PA
NPI 1326705633 · on the registry since 2021
Practice
- Address
- 510 S 4th St Ste 600
Fulton, NY 13069 - Phone
- (315) 598-4790
- Fax
- (315) 593-6195
- Organisation at this address
- A.L. Lee Memorial Hospital
Albert Lindley Lee Memorial
Oswego Health Home Care Llc..
Northern Oswego County Health Services, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 22
Additional practice sites
- 61 Delano St, Pulaski, NY
- 7 Bridge St, Phoenix, NY
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York