Individual
DR. GAYLE PATRICIA MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
423 E 23 STREET, PRIMARY CARE, NEW YORK, NY 10010
(212) 686-7500
Mailing address
423 E 23 STREET, PRIMARY CARE, NEW YORK, NY 10010
(212) 686-7500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
255647-1
NY
207R00000X
Internal Medicine Physician
25MA08734900
NJ
207R00000X
Internal Medicine Physician
A95772
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A957720
BLUE CROSS BLUE SHIELD OF CALIFORNIA
CA
05
—
00A957720
—
CA
01
—
P00468685
RR MEDICARE, SAN FRANCISCO RAILROAD MEDICARE
CA
Enumeration date
02/09/2006
Last updated
12/17/2018
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