MEDICARE: DR. DANIEL GATI DMD

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	1223G0001X	General Practice Dentistry	057333	NY

General Provider Information

NPI Number	:	1497165930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL GATI DMD

Provider Business Mailing Address
First Line	:	241 W 30TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10001-2823
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	241 W 30TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10001-2823
Country	:	US
Telephone Number	:	917-351-0200
Fax Number	:

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

Provider Enumeration Date	:	05/06/2014
Last Update Date	:	07/10/2015

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