Gillette, Angela

Gillette, Angela is an sole proprietor health care provider with primary practice located at 555 Saint Josephs Blvd , Elmira NY 14901-3223. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gillette, Angela can be contacted via phone (607) 737-7002.

Contact Information

Primary practice address
555 Saint Josephs Blvd Elmira NY 14901-3223
Phone: (607) 737-7002
Fax: (607) 271-3435
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 525662 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 403097 New York

Profile Details

NPI number 1467624445
LBN Legal business name Gillette, Angela
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2008
Last updated Nov 24th, 2020 - 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 1467624445 NPPES
New York MEDICAID 06173931

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