Search › New York › Diagnostic Radiology Physician
Gavin Gullickson, DO
NPI 1508493545 · on the registry since 2020 · sole proprietor
Practice
- Address
- 750 E Adams St
Syracuse, NY 13210 - Phone
- (315) 464-5189
- Fax
- (315) 464-7494
- Organisation at this address
- Suny Upstate
Upstate Urology, Inc.
Upstate Medical Center
Pediatric Service Group
Upstate Medical UniversityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2,253
Additional practice sites
- 45 Reade Pl, Poughkeepsie, NY
Registry record
- Primary taxonomy
- Diagnostic Radiology Physician
2085R0202X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-17
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