Individual
DR. DENNIS GAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
103 E 75TH ST, APT 1FE, NEW YORK, NY 10021-2805
(212) 772-7628
(212) 772-7062
Mailing address
103 EAST 75TH ST, APT 1FE, NEW YORK, NY 10021-2805
(212) 772-7628
(212) 772-7062
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
131072
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00580209
—
NY
Enumeration date
06/27/2005
Last updated
01/07/2008
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