Gillis, Theresa A

Gillis, Theresa A is an individual health care provider with primary practice located at 515 Madison Ave Frnt 5 , New York NY 10022-5488. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Gillis, Theresa A can be contacted via phone (646) 888-1936.

Contact Information

Primary practice address
515 Madison Ave Frnt 5 New York NY 10022-5488
Phone: (646) 888-1936
Fax: (646) 888-1910
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 25MA10013000 New Jersey
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2081H0002X 82409197 New York
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2081H0002X 25MA10013000 New Jersey
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 82409197 New York
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 25MA10013000 New Jersey
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 82409197 New York

Profile Details

NPI number 1396725057
LBN Legal business name Gillis, Theresa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Dec 19th, 2018 - about 6 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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