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NPI Code Detail

MEDICARE: GAPS COLLABORATIVE TX

MEDICARE: GAPS COLLABORATIVE TX
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 Physician

General Provider Information

NPI Number : 1992372981
Entity Type Code : Organization
Provider Name (Legal Business Name) : GAPS COLLABORATIVE TX
Provider Business Mailing Address
First Line : 250 SKILLMAN ST STE 202
Second Line :
City : BROOKLYN
State : NY
Zip : 11205-1218
Country : US
Telephone Number : 212-734-6621
Fax Number :
Provider Business Practice Location Address
First Line : 3301 VIEW ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76103-2425
Country : US
Telephone Number : 212-734-6621
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : YITTY FALKOWITZ
Credential :
Telephone Number : 212-734-6621
Provider Enumeration Date : 06/08/2021
Last Update Date : 01/19/2023

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Directions to “GAPS COLLABORATIVE TX ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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