Individual
LORI S GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
5250 FIELDSTON RD, BRONX, NY 10471-2935
(718) 519-2799
(718) 519-2735
Mailing address
6 BIRCHWOOD CT, APT 4K, MINEOLA, NY 11501-4529
(631) 338-3306
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001783
NY
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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