Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 244806 | NY |
N | 111NI0900X | Internist | 244806 | NY |
Y | 207RN0300X | Nephrologist | 244806 | NY |
NPI | 1033321294 |
---|---|
Provider Name | Emmanuelle Gilles |
First Address | Middletown, NY 10941-4028 |
Second Address | West Nyack, NY 10994-2215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 01/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03285430 | (05) | NY |