MEDICARE: MRS. NATALIE SIMONE GAYLE NP

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	363L00000X	Nurse Practitioner	403749	NY
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	F403749-01	NY
3	163W00000X	Registered Nurse	467848-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	403749	OTHER	NY	NURSE PRACTITIONER PSYCHIATRY LICENSE #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437305562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NATALIE SIMONE GAYLE NP

Provider Business Mailing Address
First Line	:	100 DUFFY AVE STE 510
Second Line	:
City	:	HICKSVILLE
State	:	NY
Zip	:	11801-3636
Country	:	US
Telephone Number	:	631-245-0089
Fax Number	:

Provider Business Practice Location Address
First Line	:	555 BROADHOLLOW RD STE 305
Second Line	:
City	:	MELVILLE
State	:	NY
Zip	:	11747-5018
Country	:	US
Telephone Number	:	631-245-0089
Fax Number	:	516-530-1943

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

Provider Enumeration Date	:	08/08/2008
Last Update Date	:	02/18/2026

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