Individual
NICOLAS GILLINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 STATION PLZ N FL 5, MINEOLA, NY 11501-3800
(516) 663-2521
(516) 663-9665
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
321734
NY
Other
Enumeration date
04/02/2019
Last updated
06/09/2025
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