Provider Demographics
NPI:1376028738
Name:GILBERT, ADRIENNE BETH
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:BETH
Last Name:GILBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:NY
Mailing Address - Zip Code:14830-2590
Mailing Address - Country:US
Mailing Address - Phone:607-973-2458
Mailing Address - Fax:607-327-5364
Practice Address - Street 1:115 W MARKET ST
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:NY
Practice Address - Zip Code:14830-2590
Practice Address - Country:US
Practice Address - Phone:607-973-2458
Practice Address - Fax:607-327-5364
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-01
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14000056090237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist