Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 182198-1 | NY |
N | 111NI0900X | Internist | 182198-1 | NY |
N | 207RA0201X | Internist - Allergy & Immunology | 182198-1 | NY |
Y | 207RP1001X | Pulmonary Disease | 182198-1 | NY |
N | 207RS0012X | Sleep Medicine | 182198-1 | NY |
NPI | 1730134339 |
---|---|
Provider Name | Dr. Gurmit S Gill |
First Address | Garden City, NY 11530-4771 |
Second Address | Garden City, NY 11530-4771 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 14/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01369891 | (05) | NY |
E01919 | (02) | NY |