Individual
MICHAEL GILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4295 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5713
(516) 579-6000
Mailing address
50 NEW YORK AVE # 25A, SMITHTOWN, NY 11787-3448
(631) 862-3111
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
020368
NY
Other
Enumeration date
11/07/2016
Last updated
06/04/2020
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