PHILIP A GILLY MD PLLC
Ambulatory Health at Broad St, Kinderhook, NY

License number
New York 180754
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. PHILIP GILLY MD
Title: PRESIDENT
Phone: (518) 424-3275
Address
Address
38 Broad St, Kinderhook, NY 12106
National Provider ID: 1891080057
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHILIP A. GILLY, M.D., PLLC

PO Box 491, Kinderhook, NY 12106

Registration:
Feb 28, 2003
State ID:
2875425
Business type:
DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY