National Provider Identifier
Maxwell C Gilmore
Maxwell C Gilmore is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Elmira, NY and a listed phone number of (607) 737-7804.
Profile Overview
- NPI
- 1023758927
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- March 30, 2022
- Last Updated
- March 30, 2022
Practice Location
- 602 Ivy St
- Elmira, NY 14905-1646
Phone: (607) 737-7804
Mailing Address
- 101 Rachel Carson Way
- Ithaca, NY 14850-9395
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1023758927
- Entity Type
- Individual
- Last Name
- Gilmore
- First Name
- Maxwell
- Middle Name
- C
- Mailing Street Address
- 101 Rachel Carson Way
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-9395
- Mailing Country
- US
- Mailing Phone
- (607) 229-6369
- Practice Street Address
- 602 Ivy St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1646
- Practice Country
- US
- Practice Phone
- (607) 737-7804
- Practice Fax
- (607) 735-7510
- Enumeration Date
- March 30, 2022
- Last Updated
- March 30, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 30, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)