Individual
GABRIELLE LILLAN JORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
165 N VILLAGE AVE STE 128, ROCKVILLE CENTRE, NY 11570-3763
(516) 764-2222
Mailing address
165 N VILLAGE AVE STE 128, ROCKVILLE CENTRE, NY 11570-3763
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F312029-01
NY
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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