Individual
DR. GARY T MIDELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MAMARONECK AVE, 2ND FLOOR, WHITE PLAINS, NY 10601-4263
(914) 220-0136
(914) 220-0135
Mailing address
107 HALLEY DR, POMONA, NY 10970-2129
(914) 220-0136
(914) 220-0135
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
225873
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02473816
—
NY
Enumeration date
10/06/2006
Last updated
12/03/2008
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