Organization
GATEWAY OB/GYN ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LEO PRUE M.D. (VICE PRES. / SECRETARY)
(718) 987-9175
Entity
Organization
Contact information
Practice address
78 CROMWELL AVENUE, STATEN ISLAND, NY 10304
(718) 987-9175
(718) 987-1678
Mailing address
78 CROMWELL AVENUE, STATEN ISLAND, NY 10304
(718) 987-9175
(718) 987-1678
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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