Organization
GIL MEDICAL SERVICES P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIOVANNY FERNANDO GIL SARES MD (MEDICAL DIRECTO)
(718) 507-9878
Entity
Organization
Contact information
Practice address
3722 88TH ST, JACKSON HEIGHTS, NY 11372-7631
(718) 507-9878
(718) 507-9894
Mailing address
3722 88TH ST, JACKSON HEIGHTS, NY 11372-7631
(718) 507-9878
(718) 507-9894
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04572625
—
NY
Enumeration date
01/24/2019
Last updated
01/24/2019
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