Provider Demographics
NPI:1104714302
Name:GIL, JUDITH HILDA
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:HILDA
Last Name:GIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 ALEXANDER ST APT 1310
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-2989
Mailing Address - Country:US
Mailing Address - Phone:347-322-0560
Mailing Address - Fax:
Practice Address - Street 1:79 ALEXANDER ST APT 1310
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-2989
Practice Address - Country:US
Practice Address - Phone:347-322-0560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program