Provider Demographics
NPI:1619313160
Name:GEMMILL, JULIE ANNE LYNNE (DO, MS)
Entity type:Individual
Prefix:DR
First Name:JULIE ANNE
Middle Name:LYNNE
Last Name:GEMMILL
Suffix:
Gender:F
Credentials:DO, MS
Other - Prefix:
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Mailing Address - Street 1:101 NICOLLS ROAD
Mailing Address - Street 2:HSC T15-040
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-0001
Mailing Address - Country:US
Mailing Address - Phone:631-216-8051
Mailing Address - Fax:
Practice Address - Street 1:LAUTERBUR DRIVE
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8160
Practice Address - Country:US
Practice Address - Phone:631-722-2623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-10
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY289334-1207R00000X
NY289334207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine