| Doctor Name: | MRS. LIANNA GATES |
| NPI Number: | 1811179914 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, BSN |
| License Number: | 576026-1 |
| Business Practice Address: | 2658 Norway Rd Holley, NY - 144709331 |
| Business Phone Number: | 5852335787 |
| Business Fax Number: | 5856598209 |
| Mailing Address: | 2658 Norway Rd, HOLLEY |
| State: | NY |
| Postal Code: | 144709331 |
| Phone Number: | 5852335787 |
| Fax Number: | 5856598209 |
| NPI Enumeration Date: | 11/29/2007 |
| NPI Last Update Date: | 11/29/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | 576026-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |