MEDICARE: GAIL A BESSON 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	207V00000X	Obstetrics & Gynecology Physician	211088	NY

General Provider Information

NPI Number	:	1639287055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAIL A BESSON MD

Provider Business Mailing Address
First Line	:	150 55TH ST
Second Line	:	STATION 20
City	:	BROOKLYN
State	:	NY
Zip	:	11220-2508
Country	:	US
Telephone Number	:	718-630-6815
Fax Number	:

Provider Business Practice Location Address
First Line	:	3414 CHURCH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-2714
Country	:	US
Telephone Number	:	718-940-4949
Fax Number	:	718-940-2914

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

Provider Enumeration Date	:	08/26/2006
Last Update Date	:	01/13/2012

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