MEDICARE: DR. MORRIS S GAGLIARDI MEDICAL DOCTOR

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	207V00000X	Obstetrics & Gynecology Physician	25MA06380200	NJ
2	207V00000X	Obstetrics & Gynecology Physician	251966	NY

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	:	1538157029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MORRIS S GAGLIARDI MEDICAL DOCTOR

Provider Business Mailing Address
First Line	:	227 MADISON ST
Second Line	:	GOUVERNEUR OB-GYN, 2ND FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10002-7537
Country	:	US
Telephone Number	:	212-238-7244
Fax Number	:	212-238-7284

Provider Business Practice Location Address
First Line	:	227 MADISON ST
Second Line	:	GOUVERNEUR OB-GYN, 2ND FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10002-7537
Country	:	US
Telephone Number	:	212-238-7244
Fax Number	:	212-238-7284

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	07/29/2010

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