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NPI Code Detail

MEDICARE: DR. CYRIL G GILLMAN D.D.S.

MEDICARE:  DR. CYRIL G GILLMAN  D.D.S.
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
11223G0001XGeneral Practice Dentistry033923NY

General Provider Information

NPI Number : 1457356883
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CYRIL G GILLMAN D.D.S.
Provider Business Mailing Address
First Line : 12027 GUY R BREWER BLVD
Second Line :
City : JAMAICA
State : NY
Zip : 11434-2428
Country : US
Telephone Number : 718-723-1552
Fax Number : 718-723-7265
Provider Business Practice Location Address
First Line : 12027 GUY R BREWER BLVD
Second Line :
City : JAMAICA
State : NY
Zip : 11434-2428
Country : US
Telephone Number : 718-723-1552
Fax Number : 718-723-7265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 07/08/2007

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Directions to “ DR. CYRIL G GILLMAN D.D.S.” Practice Location

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