Individual
TARIQ GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 TROY-SCHENECTADY ROAD, LATHAM, NY 12110
(518) 782-3700
(518) 782-3799
Mailing address
711 TROY-SCHENECTADY ROAD, SUITE 203, LATHAM, NY 12110
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
146501
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00864902
—
NY
Enumeration date
10/31/2005
Last updated
10/31/2012
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