Individual
DR. EUGENE ROBERT GILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
46 14 197 STREET, FLUSHING, NY 11358
(718) 423-3888
(718) 229-6188
Mailing address
68 SOUTH SERVICE ROAD, SUITE 350, MELVILLE, NY 22033-2921
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
131079
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0783497
AETNA
—
01
—
09A691
BC
—
01
—
0J136P
HIP
—
01
—
P435956
OXFORD
—
Enumeration date
11/15/2006
Last updated
04/27/2018
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