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Individual

DR. CLYDE ALFRED GILMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
BELLEVUE HOSPITAL CENTER, 462 1ST AVENUE, H-12E19, NEW YORK, NY 10016-9196
(212) 562-7729
(212) 562-8422
Mailing address
50 GARFIELD RD, SPRING VALLEY, NY 10977-2413
(845) 352-7003
(845) 371-1841

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
136426
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
493729
NY
Enumeration date
11/01/2006
Last updated
07/08/2007
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