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General NPI Number Information
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NPI Number | 1275678955
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Entity Type | Organization
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Legal Business Name | GATTEREAU & EDWARDS MD PC
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 19105 HILLSIDE AVENUE
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City | HOLLISWOOD
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State | NY
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Zip | 11423
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Country | US
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Telephone | 718-468-8400
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Fax | 718-740-2211
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Provider Business Mailing Address
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Address Line | 19105 HILLSIDE AVENUE
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City | HOLLISWOOD
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State | NY
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Zip | 11423
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Country | US
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Telephone | 718-468-8400
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Fax | 718-740-2211
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Authorized Official
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Title or Position | SECRETARY TREASURER
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Name | DR. MARITZA GATTEREAU EDWARDS
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Credential | MD
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Telephone | 718-468-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 161995
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 165011
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License Number State | NY
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