Provider Demographics
NPI:1285821363
Name:G S GILL MD PC
Entity Type:Organization
Organization Name:G S GILL MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GURMIT
Authorized Official - Middle Name:S
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-741-0055
Mailing Address - Street 1:975 FRANKLIN AVE
Mailing Address - Street 2:2ND FL SUITE 203A
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-2921
Mailing Address - Country:US
Mailing Address - Phone:516-741-0055
Mailing Address - Fax:516-741-6936
Practice Address - Street 1:975 FRANKLIN AVE
Practice Address - Street 2:2ND FL SUITE 203A
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-2921
Practice Address - Country:US
Practice Address - Phone:516-741-0055
Practice Address - Fax:516-741-6936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY182198207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty