Individual
EMMANUELLA GILLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
55 AZALIA CT, HEMPSTEAD, NY 11550-1101
(516) 486-5819
Mailing address
55 AZALIA CT, HEMPSTEAD, NY 11550-1101
(516) 486-5819
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
22524781
NY
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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