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NPI Code Detail

MEDICARE: MRS. PAMELA PATRICIA GILL PT

MEDICARE:  MRS. PAMELA PATRICIA GILL  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist04654NY

General Provider Information

NPI Number : 1336467141
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAMELA PATRICIA GILL PT
Provider Business Mailing Address
First Line : 298 FENIMORE ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-5904
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 298 FENIMORE ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-5904
Country : US
Telephone Number : 718-930-5223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2010
Last Update Date : 05/04/2010

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Directions to “ MRS. PAMELA PATRICIA GILL PT” Practice Location

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