Gillego, Azucena M
Gillego, Azucena M is an sole proprietor health care provider with primary practice located at 205-07 Hillside Ave Ste 10, Hollis NY 11423. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gillego, Azucena M can be contacted via phone (718) 464-5780.Contact Information
Primary practice address
205-07 Hillside Ave Ste 10
Hollis NY 11423
Phone: (718) 464-5780
Fax: (718) 464-5781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 159298 | New York |
Profile Details
| NPI number | 1356313597 |
|---|---|
| LBN Legal business name | Gillego, Azucena M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | May 28th, 2010 - about 14 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 | 1356313597 | NPPES |
| New York | MEDICAID | 00841061 |
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