Provider Demographics
NPI:1891040259
Name:GILMAN, GABRIELLE MARINA (RN)
Entity Type:Individual
Prefix:MS
First Name:GABRIELLE
Middle Name:MARINA
Last Name:GILMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1266 73RD ST
Mailing Address - Street 2:APT 2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-2029
Mailing Address - Country:US
Mailing Address - Phone:646-853-5512
Mailing Address - Fax:
Practice Address - Street 1:1266 73RD ST
Practice Address - Street 2:APT 2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-2029
Practice Address - Country:US
Practice Address - Phone:646-853-5512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-20
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY654990163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse