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Individual

GEORGE MATTHEW GATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3 POND DR, LLOYD HARBOR, NY 11743-1718
(631) 421-2290
Mailing address
3 POND DR, LLOYD HARBOR, NY 11743-1718
(631) 421-2290

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
164500
NY

Other

Enumeration date
01/22/2013
Last updated
01/22/2013
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