Organization
KGAO MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEQIN GAO MD (PRESIDENT)
(516) 496-7232
Entity
Organization
Contact information
Practice address
15 MELANIE LN, SYOSSET, NY 11791-5831
(516) 496-7232
Mailing address
15 MELANIE LN, SYOSSET, NY 11791-5831
(516) 496-7232
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
224136
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902826019
NPI
NY
Enumeration date
12/20/2010
Last updated
12/20/2010
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