Individual
LAURA ELIZABETH GIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
130 MEDFORD AVE, PATCHOGUE, NY 11772-1206
(631) 475-5734
Mailing address
14 MONTICELLO DRIVE, SHOREHAM, NY 11786
(631) 872-1741
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
012977-1
NY
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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