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Organization
BALM OF GILEAD CERTIFIED AGENCY
Active
Organization
BALM OF GILEAD CERTIFIED AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY EMILI MD (OWNER)
(718) 547-4077
Entity
Organization
Contact information
Practice address
3515 EASTCHESTER RD, BRONX, NY 10469-1670
(718) 547-4077
(718) 547-4099
Mailing address
3515 EASTCHESTER RD, BRONX, NY 10469-1670
(718) 547-4077
(718) 547-4099
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
999999999
PENDING AT THIS TIME
NY
Enumeration date
06/19/2009
Last updated
06/19/2009
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