Provider Demographics
NPI:1770024275
Name:COMILLAS, GAY ROSELLE (NP)
Entity Type:Individual
Prefix:MRS
First Name:GAY
Middle Name:ROSELLE
Last Name:COMILLAS
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Gender:F
Credentials:NP
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Mailing Address - Street 1:285 SILLS RD
Mailing Address - Street 2:BLDG. 7 SUITE B
Mailing Address - City:EAST PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-4869
Mailing Address - Country:US
Mailing Address - Phone:631-654-4577
Mailing Address - Fax:631-654-3391
Practice Address - Street 1:285 SILLS RD
Practice Address - Street 2:BLDG. 7 SUITE B
Practice Address - City:EAST PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-4869
Practice Address - Country:US
Practice Address - Phone:631-654-4577
Practice Address - Fax:631-654-3391
Is Sole Proprietor?:No
Enumeration Date:2017-03-16
Last Update Date:2022-04-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY341598363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily