Individual
GAD NOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-8075
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-8075
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
292330
NY
2084P0800X
Psychiatry Physician
Primary
260264
MA
2084P0800X
Psychiatry Physician
292330
NY
Other
Enumeration date
04/02/2014
Last updated
03/28/2020
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