TIMOTHY GILLEN

STATEN ISLAND, NY
NPI1568739522
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  514154)
Enumeration Date2011-11-18
Last Update Date2011-11-18
Business Address
Mr. TIMOTHY GILLEN RN
77 CHICAGO AVE
STATEN ISLAND, NY 10305-3757
Phone number: 718-442-7828
Mailing Address
Mr. TIMOTHY GILLEN RN
75 ELKHART ST
STATEN ISLAND, NY 10308-1710
Phone number: 718-608-5894