National Provider Identifier Database

EZRA GILLEGO, RPA-C – NPI #1407061393
Surgical


Contact Information

EZRA GILLEGO, RPA-C
1ST AVE 16TH STREET
NEW YORK, NY10003
Phone: 212-420-2953
Fax:
Website:
Specialty Taxonomy Code
* Surgical 363AS0400X

* Indicates primary specialty

NPI Profile & details for EZRA GILLEGO

NPI Number 1407061393
Credentials RPA-C
Entity Individual
Enumeration date 05/13/2007
Last updated 03/11/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 011163
Hospital affiliation n/a

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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