Individual
DR. WOLFGANG G. GILLIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
NORTHERN BLVD, ACADEMIC HEALTH CARE CENTER NY INSTITUTE OF TECHNOLOGY, OLD WESTBURY, NY 11568-8000
(516) 686-1300
(516) 686-7890
Mailing address
NORTHERN BLVD, ACADEMIC HEALTH CARE CENTER NY INSTITUTE OF TECHNOLOGY, OLD WESTBURY, NY 11568-8000
(516) 686-1300
(516) 686-7890
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2337011
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821048612
NPI GROUP NUMBER
NY
01
—
1922097302
NPI NUMBER
NY
Enumeration date
10/18/2005
Last updated
10/05/2012
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