Marylin Gilks, R.N.
Individual provider Active NPI Registered Nurse · East Quogue, NY
NPI 1780718015 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1780718015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 3635261 (NY)
- Practice address
- 653 Montauk Hwy
East Quogue, NY 11942-3922 - Phone
- (631) 653-9268
- Fax
- (631) 653-3802
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3635261 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 3635261 | NY | Yes |
Addresses
Primary practice location
653 Montauk Hwy
East Quogue, NY 11942-3922
Mailing address
653 Montauk Hwy
East Quogue, NY 11942-3922
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01190385 | Medicaid | NY |
Other providers in East Quogue, NY
- Anthony Fuentes
- Diana Fuzailov
- Gregory Mark Gale
- Carol Marie Giglio
- Joseph Giglio
- Seth Greiner
- Monica Guerrero
- Hampton Family Dental PC
- Jason Harvey
- Alyssa Erin Healy
All providers in East Quogue, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.