Gary T Midelton Physician Pc

NPI 1013122134 - Internal Medicine - 207R00000X

NPI Details
NPI 1013122134
Enumeration Date 05/11/2007
Last Updated 12/19/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GARY T GARY
Position PRESIDENT
Phone (914) 220-0136
Fax
Practice Location
100 MAMARONECK AVE
2ND FLOOR
WHITE PLAINS NY, 10601-4263, US
Phone (914) 220-0136
Fax
Business Location
107 HALLEY DR
POMONA NY, 10970-2129, US
Phone (914) 220-0136
Fax
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 225873
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According to our database, Gary T Midelton Physician Pc NPI is 1013122134, taxonomy code is 207R00000X and license number is 225873, license state is located at New York. Gary T Midelton Physician Pc physically located at 100 Mamaroneck Ave, White Plains NY, 10601-4263. NPI Number 1033115704 has the healthcare provider type.

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1013122134 NPI number is provided on an as is basis without warranty of any kind. 1013122134 is maintained by the National Plan & Provider Enumeration System. The contents of Gary T Midelton Physician Pc are for informational purposes only.