| Doctor Name: | DEBRA J GATES |
| NPI Number: | 1063698769 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | F301635 |
| Business Practice Address: | 2 Coulter Rd Clifton Springs, NY - 144321122 |
| Business Phone Number: | 3154620585 |
| Business Fax Number: | |
| Mailing Address: | 2 Coulter Rd, CLIFTON SPRINGS |
| State: | NY |
| Postal Code: | 144321122 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/14/2008 |
| NPI Last Update Date: | 05/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2200X |
| License Number: | F301635 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |