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NPI Code Detail

MEDICARE: ERIC GAYLE MD

MEDICARE: ERIC GAYLE 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
1207Q00000XFamily Medicine Physician204832NY

General Provider Information

NPI Number : 1740280973
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC GAYLE MD
Provider Business Mailing Address
First Line : 16 E 16TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10003-3105
Country : US
Telephone Number : 212-206-5200
Fax Number :
Provider Business Practice Location Address
First Line : 731 WHITE PLAINS RD
Second Line :
City : BRONX
State : NY
Zip : 10473-2631
Country : US
Telephone Number : 718-589-8775
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 03/30/2017

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