Provider Demographics
NPI:1225625908
Name:WILLNER-GIWERC, GAIL (MS, EDM)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:
Last Name:WILLNER-GIWERC
Suffix:
Gender:F
Credentials:MS, EDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-4303
Mailing Address - Country:US
Mailing Address - Phone:518-281-3305
Mailing Address - Fax:
Practice Address - Street 1:29 GEORGE ST
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-4303
Practice Address - Country:US
Practice Address - Phone:518-281-3305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist