Healthcare Provider Details

I. General information

NPI: 1902083116
Provider Name (Legal Business Name): DEBORAH GAHR MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2008
Last Update Date: 01/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 W BROADWAY 2ND FLOOR
NEW YORK NY
10012-3784
US

IV. Provider business mailing address

PO BOX 2003
EAST SYRACUSE NY
13057-4503
US

V. Phone/Fax

Practice location:
  • Phone: 212-941-0011
  • Fax: 212-941-5977
Mailing address:
  • Phone: 315-446-3904
  • Fax: 315-445-2936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH GAHR
Title or Position: OWNER
Credential: MD
Phone: 212-941-0011