Provider Demographics
NPI:1396190252
Name:GILMAN, FALISHA (MD)
Entity Type:Individual
Prefix:
First Name:FALISHA
Middle Name:
Last Name:GILMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 GEORGE ST
Mailing Address - Street 2:STE 4 PMB 1171
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901
Mailing Address - Country:US
Mailing Address - Phone:732-226-7596
Mailing Address - Fax:
Practice Address - Street 1:3176 STATE ROUTE 27 STE 2B
Practice Address - Street 2:
Practice Address - City:KENDALL PARK
Practice Address - State:NJ
Practice Address - Zip Code:08824-1514
Practice Address - Country:US
Practice Address - Phone:732-226-7596
Practice Address - Fax:732-627-1378
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-28
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT616012084P0800X
NY3194652084P0800X
NJ25MA107551002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry