Doctor Name: | MRS. SHELLEY M GILBERT |
NPI Number: | 1467698621 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPA-C |
License Number: | 013354 |
Business Practice Address: | 17 Glenn Pond Rd Suite 3 Red Hook, NY - 125711824 |
Business Phone Number: | 8457586046 |
Business Fax Number: | 8457586051 |
Mailing Address: | 17 Glenn Pond Rd, Suite 3 RED HOOK |
State: | NY |
Postal Code: | 125711824 |
Phone Number: | 8457586046 |
Fax Number: | 8457586051 |
NPI Enumeration Date: | 12/18/2008 |
NPI Last Update Date: | 08/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 013354 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |