Organization
PHILIP A GILLY MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP GILLY MD (PRESIDENT)
(518) 424-3275
Entity
Organization
Contact information
Practice address
38 BROAD STREET, KINDERHOOK, NY 12106
(518) 424-3275
Mailing address
PO BOX 491, KINDERHOOK, NY 12106-0491
(518) 424-3275
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
180754
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01166201
—
NY
Enumeration date
06/16/2011
Last updated
06/16/2011
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