EZRA GILLEGO

NEW YORK, NY
NPI1407061393
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  011163)
Enumeration Date2007-05-13
Last Update Date2014-03-11
Business Address
Mr. EZRA GILLEGO RPA-C
1ST AVE 16TH STREET
NEW YORK, NY 10003
Phone number: 212-420-2953
Mailing Address
Mr. EZRA GILLEGO RPA-C
464 E BEECH ST
LONG BEACH, NY 11561-3604
Phone number: 516-523-0577
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