Organization
BALM OF GILEAD MEDICAL OFFICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY EMILI MD (OWNER)
(631) 737-4168
Entity
Organization
Contact information
Practice address
4626 WHITE PLAINS RD, BRONX, NY 10470-1610
(631) 737-4168
Mailing address
4626 WHITE PLAINS RD, BRONX, NY 10470-1610
(631) 737-4168
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
211144
NY
208VP0000X
Pain Medicine Physician
211144
NY
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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