Healthcare Provider Details

I. General information

NPI: 1255244505
Provider Name (Legal Business Name): LORI A GILLING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2579 OCEAN AVE FL 3
BROOKLYN NY
11229-4552
US

IV. Provider business mailing address

11439 204TH ST
SAINT ALBANS NY
11412-2816
US

V. Phone/Fax

Practice location:
  • Phone: 646-780-0926
  • Fax:
Mailing address:
  • Phone: 347-987-8222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: