Theresa A Gillis
Physical Medicine & Rehabilitation Doctor Pain Medicine
515 Madison Ave Frnt 5
New York
, New York 10022-5488
Theresa A Gillis
Physical Medicine & Rehabilitation Doctor Pain Medicine
515 Madison Ave Frnt 5
New York
, New York 10022-5488
(646) 888-1910
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
- Pain Medicine
Languages spoken
- English
Location
First Address
- Theresa A Gillis
- 515 Madison Ave Frnt 5
- New York, NY
- Zip : 10022-5488
- Fax : (646) 888-1910
- Phone : (646) 888-1936
Second Address
- Theresa A Gillis
- 515 Madison Ave Frnt 5
- New York, NY
- Zip : 10022-5488
- Fax : (646) 888-1910
- Phone : (646) 888-1936
Reviews
FAQs
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What type of doctor is Theresa A Gillis
In what state does Theresa A Gillis practice in?
Where is Theresa A Gillis ’s practice located?
What is Theresa A Gillis ’s gender?
Is Theresa A Gillis a sole practitioner?
Is Theresa A Gillis accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | 25MA10013000 | NJ |
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 82409197 | NY |
| N | 2081P2900X | Pain Medicine | 25MA10013000 | NJ |
| N | 2081P2900X | Pain Medicine | 82409197 | NY |
National Provider Identifier
| NPI | 1396725057 |
|---|---|
| Provider Name | Theresa A Gillis |
| First Address | New York, NY 10022-5488 |
| Second Address | New York, NY 10022-5488 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/01/2006 |
| Last Update Date | 19/12/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F63745 | (02) | DE |
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.