National Provider Identifier
Jillian Lee Gugino, M.D.
Jillian Lee Gugino, M.D. is listed in the NPPES registry with a primary specialty of Anesthesiology Physician in Niagara Falls, NY and a listed phone number of (716) 836-7510.
Profile Overview
- NPI
- 1003259052
- Provider Type
- Individual
- Primary Specialty
- Anesthesiology Physician
- Enumeration Date
- April 09, 2013
- Last Updated
- October 27, 2023
Practice Location
- Niagara Falls Memorial Medical Center
- 621 10Th St
- Niagara Falls, NY 14301
Phone: (716) 836-7510
Mailing Address
- 1305 Walt Whitman RD, Suite 300
- Melville, NY 11747
Specialties
- Anesthesiology Physician (207L00000X)
- Anesthesiology Physician (207L00000X)
Full Record
- NPI
- 1003259052
- Entity Type
- Individual
- Last Name
- Gugino
- First Name
- Jillian
- Middle Name
- Lee
- Name Prefix
- Dr.
- Credential
- M.D.
- Provider Other Last Name
- Kent
- Provider Other First Name
- Jillian
- Provider Other Middle Name
- Lee
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- M.D.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1305 Walt Whitman RD, Suite 300
- Mailing City
- Melville
- Mailing State
- NY
- Mailing ZIP Code
- 11747
- Mailing Country
- US
- Mailing Phone
- (716) 836-7510
- Mailing Fax
- (716) 832-3540
- Practice Street Address
- Niagara Falls Memorial Medical Center
- Practice Address Line 2
- 621 10Th St
- Practice City
- Niagara Falls
- Practice State
- NY
- Practice ZIP Code
- 14301
- Practice Country
- US
- Practice Phone
- (716) 836-7510
- Practice Fax
- (716) 832-3540
- Enumeration Date
- April 09, 2013
- Last Updated
- October 27, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 05, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Anesthesiology Physician (207L00000X), Anesthesiology Physician (207L00000X)