Individual
MISS MANJIT GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
395 LAKE AVE, STATEN ISLAND, NY 10303-2640
(718) 981-5359
Mailing address
395 LAKE AVE, STATEN ISLAND, NY 10303-2640
(718) 981-5359
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307904
NY
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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