| David Gandler, M.d., P.c. | |
|
12 E 88th St Suite Grb New York NY 10128-0535 | |
| (212) 410-5888 | |
| (212) 410-5888 |
| Full Name | David Gandler, M.d., P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 12 E 88th St, New York, New York |
| Authorized Official Name and Position | David Gandler (PRESIDENT) |
| Authorized Official Contact | 2124105888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Gandler, M.d., P.c. 12 E 88th St Suite Grb New York NY 10128-0535 Ph: (212) 410-5888 | David Gandler, M.d., P.c. 12 E 88th St Suite Grb New York NY 10128-0535 Ph: (212) 410-5888 |
| NPI Number | 1710282363 |
|---|---|
| Provider Enumeration Date | 01/12/2011 |
| Last Update Date | 01/12/2011 |
| Medicare PECOS PAC ID | 8224219746 |
|---|---|
| Medicare Enrollment ID | O20110216000870 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710282363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 147222 (New York) | Primary |
| Provider Name | David Gandler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609953934 PECOS PAC ID: 9133300650 Enrollment ID: I20110216000898 |
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