Organization
BALM OF GILEAD MEDICAL OFFICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY EMILI M.D (ASSOCIATE PROGRAM DIRECTOR)
(718) 547-4077
Entity
Organization
Contact information
Practice address
4626 WHITE PLAINS RD, BRONX, NY 10470-1610
(718) 547-4077
Mailing address
4626 WHITE PLAINS RD, BRONX, NY 10470-1610
(718) 547-4077
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
211144-1
NY
207R00000X
Internal Medicine Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
03/22/2007
Last updated
04/22/2021
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