Individual
DR. GAYLE SUZANNE GOREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
635 W 165TH ST, 4TH FLOOR, NEW YORK, NY 10032-3724
(212) 305-9835
(212) 305-9732
Mailing address
276 W 119TH ST, APT. 5D, NEW YORK, NY 10026-1113
(917) 673-6269
(212) 305-9732
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
225161
NY
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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