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Individual

GAYLE THERESA NEWSHAN I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH D NP

Contact information

Practice address
2 PARK AVE, ST JOHNS RIVERSIDE PARK CARE CLINIC, YONKERS, NY 10703-3402
(914) 964-7396
(914) 964-7952
Mailing address
25 LOH AVE, TARRYTOWN, NY 10591-4629
(914) 964-7396
(914) 366-0577

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
335793 1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
300741
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01355706
NY
Enumeration date
07/09/2006
Last updated
11/04/2008
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