Individual
JOHN GAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14456 25TH ROAD, FLUSHING, NY 11354
(646) 239-5838
Mailing address
14456 25TH ROAD, FLUSHING, NY 11354
(646) 239-5838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
632371
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F307182
NY
Other
Enumeration date
07/07/2014
Last updated
01/27/2016
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