Provider Demographics
NPI:1376815662
Name:SAUNDERS, GILLIAN (CHES)
Entity type:Individual
Prefix:MS
First Name:GILLIAN
Middle Name:
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:CHES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 MUNDY LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-4300
Mailing Address - Country:US
Mailing Address - Phone:914-261-6427
Mailing Address - Fax:
Practice Address - Street 1:445 MUNDY LN
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-4300
Practice Address - Country:US
Practice Address - Phone:914-261-6427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-01
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY19326174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator