National Provider Identifier

Philip N. Gillemot, PA

Philip N. Gillemot, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Watkins Glen, NY and a listed phone number of (607) 535-2403.

NPI 1912966490Watkins Glen, NYPhysician Assistant

Profile Overview

NPI
1912966490
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
March 22, 2006
Last Updated
March 22, 2021

Practice Location

  • 1 1St St
  • Watkins Glen, NY 14891-1260

Phone: (607) 535-2403

Mailing Address

  • 1 Guthrie Sq
  • Sayre, PA 18840-1625

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1912966490
Entity Type
Individual
Last Name
Gillemot
First Name
Philip
Middle Name
N.
Credential
PA
Mailing Street Address
1 Guthrie Sq
Mailing City
Sayre
Mailing State
PA
Mailing ZIP Code
18840-1625
Mailing Country
US
Mailing Phone
(570) 888-5858
Practice Street Address
1 1St St
Practice City
Watkins Glen
Practice State
NY
Practice ZIP Code
14891-1260
Practice Country
US
Practice Phone
(607) 535-2403
Practice Fax
(607) 535-2537
Enumeration Date
March 22, 2006
Last Updated
March 22, 2021
Sex
Male
Sole Proprietor
No
Certification Date
March 22, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
CC8362 (NY, Rr Medicare Group), 02579793 (NY), P00027394 (NY, Rr Medicare Pin)