Individual
ANDREA GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
47 NEW SCOTLAND AVE, DEPT. OF GENERAL SURGERY, ALBANY, NY 12208-3412
(518) 262-5374
Mailing address
47 NEW SCOTLAND AVE, DEPT. OF GENERAL SURGERY, ALBANY, NY 12208-3412
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
63717
NY
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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