# GATEWAY DERMATOLOGY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851599047
- **Authorized official:** DR. STEPHEN C VERRAL D.O. (PRESIDENT)
- **Authorized official phone:** (518) 745-5280

## Contact information

- **Practice address:** 1 S WESTERN AVE, GLENS FALLS, NY 12801-3304
- **Practice address phone:** (518) 745-5280
- **Practice address fax:** (518) 745-5284
- **Mailing address:** 1 S WESTERN AVE, GLENS FALLS, NY 12801-3304
- **Mailing address phone:** (518) 745-5280
- **Mailing address fax:** (518) 745-5284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 243122 | NY | Yes |

## Other

- **Enumeration date:** 07/10/2007
- **Last updated:** 03/14/2012