Provider Demographics
NPI:1215067475
Name:GILL, AMARJIT S (MD)
Entity type:Individual
Prefix:DR
First Name:AMARJIT
Middle Name:S
Last Name:GILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:80 LAKEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:NY
Mailing Address - Zip Code:12701-2024
Mailing Address - Country:US
Mailing Address - Phone:845-791-8700
Mailing Address - Fax:845-791-8706
Practice Address - Street 1:80 LAKEWOOD AVE
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701-2024
Practice Address - Country:US
Practice Address - Phone:845-791-8700
Practice Address - Fax:845-791-8706
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY159162208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics