MEDICARE: GERARD F SYKES MD

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	207R00000X	Internal Medicine Physician	233170	NY

General Provider Information

NPI Number	:	1013057991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERARD F SYKES MD

Provider Business Mailing Address
First Line	:	3510 JOHNSON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-1603
Country	:	US
Telephone Number	:	718-601-8205
Fax Number	:	718-601-8693

Provider Business Practice Location Address
First Line	:	3510 JOHNSON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-1603
Country	:	US
Telephone Number	:	718-601-8205
Fax Number	:	718-601-8693

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

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	12/06/2011

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