Mrs Letetia Christine Gayle, | |
3711 Bronxwood Ave, Bronx, NY 10469-1070 | |
(347) 596-3443 | |
Not Available |
Full Name | Mrs Letetia Christine Gayle |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3711 Bronxwood Ave, Bronx, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346907094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 347313 (New York) | Primary |
Entity Name | Bronxcare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245390855 PECOS PAC ID: 3870404429 Enrollment ID: O20040526001082 |
Mailing Address | Practice Location Address |
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Mrs Letetia Christine Gayle, 3711 Bronxwood Ave, Bronx, NY 10469-1070 Ph: (347) 596-3443 | Mrs Letetia Christine Gayle, 3711 Bronxwood Ave, Bronx, NY 10469-1070 Ph: (347) 596-3443 |
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