Healthcare Provider Details

I. General information

NPI: 1013020650
Provider Name (Legal Business Name): GADY HAR-EL MD,FACS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 09/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

186 E 76TH ST SECOND FLOOR
NEW YORK NY
10021-2844
US

IV. Provider business mailing address

186 E 76TH ST SECOND FLOOR
NEW YORK NY
10021-2844
US

V. Phone/Fax

Practice location:
  • Phone: 212-434-2323
  • Fax: 212-434-6620
Mailing address:
  • Phone: 212-434-2323
  • Fax: 212-434-6620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number179458
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: