| Philip A Gilly Md Pllc | |
|
38 Broad Street Kinderhook NY 12106 | |
| (518) 424-3275 | |
| Not Available |
| Full Name | Philip A Gilly Md Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 38 Broad Street, Kinderhook, New York |
| Authorized Official Name and Position | Philip Gilly (PRESIDENT) |
| Authorized Official Contact | 5184243275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philip A Gilly Md Pllc Po Box 491 Kinderhook NY 12106-0491 Ph: (518) 424-3275 | Philip A Gilly Md Pllc 38 Broad Street Kinderhook NY 12106 Ph: (518) 424-3275 |
| NPI Number | 1891080057 |
|---|---|
| Provider Enumeration Date | 06/16/2011 |
| Last Update Date | 06/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891080057 | NPI | - | NPPES |
| 01166201 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 180754 (New York) | Primary |
Neal A. Bailalrgeon M.d.f.a.a.f.p Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Broad Street, Kinderhook, NY 12106 Phone: 518-758-7252 Fax: 518-758-1963 | |
Neal A Baillargeon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Broad Street, Kinderhook, NY 12106 Phone: 518-758-7252 Fax: 151-875-8193 |