Individual
THEODORE JAMES GAETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5040
(718) 780-7294
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5040
(718) 780-7294
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
180918
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01293567
—
NY
Enumeration date
06/14/2006
Last updated
06/21/2024
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