Gill, Gurpreet
Gill, Gurpreet is an individual health care provider with primary practice located at 1110 Hallock Ave , Port Jefferson Station NY 11776-1210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Gill, Gurpreet can be contacted via phone (631) 476-9100.Contact Information
Primary practice address
1110 Hallock Ave
Port Jefferson Station NY 11776-1210
Phone: (631) 476-9100
Fax: (631) 476-4919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 276197 | New York |
Profile Details
| NPI number | 1548599533 |
|---|---|
| LBN Legal business name | Gill, Gurpreet |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2009 |
| Last updated | Feb 16th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548599533 | NPPES |
| New York | MEDICAID | 03917388 |
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