Doctor Name: | EMMA GILLES |
NPI Number: | 1033163043 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A. |
License Number: | 007349 |
Business Practice Address: | 160 N Midland Ave Nyack, NY - 109601912 |
Business Phone Number: | 8453482000 |
Business Fax Number: | |
Mailing Address: | Po Box 56169, HOUSTON |
State: | TX |
Postal Code: | 772566169 |
Phone Number: | 7134706006 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2006 |
NPI Last Update Date: | 09/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 007349 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |