Basic Information
Provider Information
NPI: 1477508737
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCGILL
FirstName: FRANCIS
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 629 PARK AVE
Address2:  
City: NEW YORK
State: NY
PostalCode: 100216516
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 26 FIREMENS MEMORIAL DRIVE STE 115
Address2:  
City: POMONA
State: NY
PostalCode: 109700460
CountryCode: US
TelephoneNumber: 8453628400
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/24/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VG0400X1633381NYY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology

No ID Information.


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