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Contact Information

STUART W GILLIM, MD
1969 TIMMERMAN HILL RD.
CORTLAND, NY13045
 Phone: 607-835-6570
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for STUART W GILLIM · (Male)

NPI Number 1225198120
Status Active
Credentials MD
Entity Individual
Enumeration date 12/11/2006
Last updated 10/02/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 108764
  • NY Medicaid 00363084
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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