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NPI Code Detail

MEDICARE: GILLIAN ALICE HOPGOOD DO

MEDICARE: GILLIAN ALICE HOPGOOD DO
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
1208000000XPediatrics Physician294945NY

General Provider Information

NPI Number : 1649664830
Entity Type Code : Individual
Provider Name (Legal Business Name) : GILLIAN ALICE HOPGOOD DO
Provider Business Mailing Address
First Line : 6735 112TH ST
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-2349
Country : US
Telephone Number : 718-301-9944
Fax Number :
Provider Business Practice Location Address
First Line : 6735 112TH ST
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-2349
Country : US
Telephone Number : 718-301-9944
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2015
Last Update Date : 12/26/2025

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Directions to “ GILLIAN ALICE HOPGOOD DO” Practice Location

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