Organization
GATEWAY DERMATOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN C VERRAL D.O. (PRESIDENT)
(518) 745-5280
Entity
Organization
Contact information
Practice address
1 S WESTERN AVE, GLENS FALLS, NY 12801-3304
(518) 745-5280
(518) 745-5284
Mailing address
1 S WESTERN AVE, GLENS FALLS, NY 12801-3304
(518) 745-5280
(518) 745-5284
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
243122
NY
Other
Enumeration date
07/10/2007
Last updated
03/14/2012
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