Doctor Name: | DR. MARTIN B GILLMAN |
NPI Number: | 1487640546 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 007375 |
Business Practice Address: | 8046 Kew Gardens Rd Kew Gardens, NY - 114151154 |
Business Phone Number: | 9182611000 |
Business Fax Number: | 7182610336 |
Mailing Address: | 8046 Kew Gardens Rd, KEW GARDENS |
State: | NY |
Postal Code: | 114151154 |
Phone Number: | 9182611000 |
Fax Number: | 7182610336 |
NPI Enumeration Date: | 09/23/2005 |
NPI Last Update Date: | 12/03/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 007375 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |