Individual
ROLANDO GATILAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4422 THIRD AVE, BRONX, NY 10457
(718) 960-9000
Mailing address
642 LOCUST ST APT 3C, MOUNT VERNON, NY 10552-2619
(914) 699-0018
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
614880
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403450
NY
Other
Enumeration date
07/21/2015
Last updated
02/29/2024
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