Individual
ELISA GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 WATERS PL, BRONX, NY 10461-2719
(929) 348-3998
(929) 348-3946
Mailing address
1420 WATERS PL, BRONX, NY 10461-2719
(929) 348-3998
(929) 348-3946
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
208018
NY
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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