Individual
CARLA GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1049 MONTGOMERY ST, BROOKLYN, NY 11213-2015
(646) 339-0634
Mailing address
1049 MONTGOMERY ST, BROOKLYN, NY 11213-5952
(646) 339-0634
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
665633-1
NY
Other
Enumeration date
02/20/2010
Last updated
12/19/2016
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