MEDICARE: KEYRISA GILLIES NP

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
1	363LF0000X	Family Nurse Practitioner	360009	NY
2	163W00000X	Registered Nurse	722432	NY

General Provider Information

NPI Number	:	1669318648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEYRISA GILLIES NP

Provider Business Mailing Address
First Line	:	PO BOX 380871
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11238-0871
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 380871
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11238-0871
Country	:	US
Telephone Number	:	718-825-6744
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2026
Last Update Date	:	06/19/2026

Similar Medicare Providers

1447185020 — JESSICA YATROFSKY LMSW
Practice Location Address:

34 PLAZA ST E
BROOKLYN, NY
11238-5038

Practice Phone: 646-490-1930
Practice Fax: 646-809-8580

1871428268 — EQUANIMITY PSYCHOTHERAPY LCSW PLLC
Practice Location Address:

292 SAINT JOHNS PL APT 54
BROOKLYN, NY
11238-5625

Practice Phone: 443-695-0617
Practice Fax:

1821042664 — DOWNSTATE OPHTHALMOLOGY ASSOCIATES, PC
Practice Location Address:

34 PLAZA ST E STE 103
BROOKLYN, NY
11238-5038

Practice Phone: 718-638-2020
Practice Fax: 718-230-3429

1679407357 — DANIELA MARIA GONZALEZ MARTINEZ MA, LCAT
Practice Location Address:

535 CARLTON AVE
BROOKLYN, NY
11238-4459

Practice Phone: 787-529-5497
Practice Fax:

1508790031 — KADISHA L MEDINA CASAC-T
Practice Location Address:

937 FULTON ST
BROOKLYN, NY
11238-2347

Practice Phone: 718-789-1212
Practice Fax: 718-789-1759

1053696195 — SUS MENTAL HEALTH PROGRAMS, INC.
Practice Location Address:

1125 FULTON ST
BROOKLYN, NY
11238-2669

Practice Phone: 347-226-9025
Practice Fax:

Directions to “ KEYRISA GILLIES NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.