Healthcare Provider Details

I. General information

NPI: 1760347009
Provider Name (Legal Business Name): GAMMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 HAMASPIK WAY UNIT 11
MONROE NY
10950-8625
US

IV. Provider business mailing address

3 HAMASPIK WAY UNIT 11
MONROE NY
10950-8625
US

V. Phone/Fax

Practice location:
  • Phone: 845-782-0000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BLIMY JACOBS
Title or Position: OWNER
Credential:
Phone: 845-662-2404