MR. EZRA GILLEGO, RPA-C
Physician Assistant - Surgical
Active
Individual
NPI: 1407061393
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | Yes | 011163 (NY) |
Frequently Asked Questions
NPI 1407061393 is the National Provider Identifier for MR. EZRA GILLEGO, RPA-C, a Physician Assistant - Surgical provider located in New York, NY. This NPI was enumerated on May 13, 2007.
MR. EZRA GILLEGO, RPA-C practices at 1ST AVE 16TH STREET, New York, NY 10003.
Quick Facts
- NPI
- 1407061393
- Type
- Individual
- Enumerated
- May 13, 2007
- Last Updated
- Mar 11, 2014
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