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Individual

DR. MICHELE LYNN GORLITSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
171 RAMAPO RD, GARNERVILLE, NY 10923-1552
(845) 947-1772
(845) 947-4487
Mailing address
171 RAMAPO RD, GARNERVILLE, NY 10923-1552
(845) 947-1772
(845) 947-4487

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
215088
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02271034
NY
Enumeration date
10/16/2006
Last updated
07/08/2007
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