MEDICARE: THE INSTITUTE FOR FAMILY HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker
2	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306366372
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE INSTITUTE FOR FAMILY HEALTH

Provider Business Mailing Address
First Line	:	279 MAIN ST STE 101
Second Line	:
City	:	NEW PALTZ
State	:	NY
Zip	:	12561-1624
Country	:	US
Telephone Number	:	845-255-3766
Fax Number	:	845-255-3753

Provider Business Practice Location Address
First Line	:	35 E 125TH ST FL 5
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10035-1816
Country	:	US
Telephone Number	:	212-360-3278
Fax Number	:	845-633-5932

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	ERIC GAYLE
Credential	:	MD
Telephone Number	:	212-633-0800

Provider Enumeration Date	:	06/21/2017
Last Update Date	:	04/22/2025

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Directions to “THE INSTITUTE FOR FAMILY HEALTH ” Practice Location

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