Individual
MRS. AUDREY CHONG-GAYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
215 ISLIP AVE, STE 1, ISLIP, NY 11751-3028
(631) 277-0558
(631) 277-0978
Mailing address
215 ISLIP AVE, STE 1, ISLIP, NY 11751-3028
(631) 277-0558
(631) 277-0978
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
214816
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02022351
—
NY
Enumeration date
05/12/2011
Last updated
05/12/2011
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