Individual
MARIANNE GILLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
584 BROADWAY, SUITE 1107A, NEW YORK, NY 10012-3229
(212) 925-8644
Mailing address
584 BROADWAY, SUITE 1107A, NEW YORK, NY 10012-3229
(212) 925-8644
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
178642
NY
Other
Enumeration date
06/19/2007
Last updated
07/10/2007
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