MEDICARE: GAIUS K LINDSAY 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	208800000X	Urology Physician	117639	NY

General Provider Information

NPI Number	:	1730178237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAIUS K LINDSAY MD

Provider Business Mailing Address
First Line	:	904 49TH ST
Second Line	:	LOWER LEVEL
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2922
Country	:	US
Telephone Number	:	718-283-7741
Fax Number	:	718-635-7424

Provider Business Practice Location Address
First Line	:	904 49TH ST
Second Line	:	LOWER LEVEL
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2922
Country	:	US
Telephone Number	:	718-283-7741
Fax Number	:	718-635-7424

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

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	03/06/2008

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