Healthcare Provider Details

I. General information

NPI: 1740452135
Provider Name (Legal Business Name): TOBY ANN GILMAN MS,RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2008
Last Update Date: 03/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 FORT HILL AVE
CANANDAIGUA NY
14424-1159
US

IV. Provider business mailing address

PO BOX 473
FAIRPORT NY
14450-0473
US

V. Phone/Fax

Practice location:
  • Phone: 585-394-2000
  • Fax:
Mailing address:
  • Phone: 585-388-1004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number168102-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: