Gillemot, Philip N.

Gillemot, Philip N. is an individual health care provider with primary practice located at 1 1St St , Watkins Glen NY 14891-1260. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gillemot, Philip N. can be contacted via phone (607) 535-2403.

Contact Information

Primary practice address
1 1St St Watkins Glen NY 14891-1260
Phone: (607) 535-2403
Fax: (607) 535-2537
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 009351-1 New York

Profile Details

NPI number 1912966490
LBN Legal business name Gillemot, Philip N.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Mar 22nd, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912966490 NPPES
New York Other CC8362 RR MEDICARE GROUP
New York MEDICAID 02579793 RR MEDICARE GROUP
New York Other P00027394 RR MEDICARE GROUP

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