Anita Gill
Neurologist Clinical Neurophysiologist
70 N Country Rd
Port Jefferson
, New York 11777-2161
Anita Gill
Neurologist Clinical Neurophysiologist
70 N Country Rd
Port Jefferson
, New York 11777-2161
(631) 686-7831
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About
Features
Specialties
- Neurologist
- Clinical Neurophysiologist
Languages spoken
- English
Location
First Address
- Anita Gill
- 70 N Country Rd
- Port Jefferson, NY
- Zip : 11777-2161
- Fax : (631) 686-7831
- Phone : (631) 686-7970
Second Address
- Anita Gill
- 70 N Country Rd
- Port Jefferson, NY
- Zip : 11777-2161
- Fax : (631) 686-7831
- Phone : (631) 686-7970
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | 246379 | NY |
| N | 2084N0600X | Clinical Neurophysiologist | 246379 | NY |
National Provider Identifier
| NPI | 1003003070 |
|---|---|
| Provider Name | Anita Gill |
| First Address | Port Jefferson, NY 11777-2161 |
| Second Address | Port Jefferson, NY 11777-2161 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2007 |
| Last Update Date | 23/11/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.