Individual
JOSEPH P GALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4350 MIDDLE SETTLEMENT RD, NEW HARTFORD, NY 13413-5345
(315) 732-0995
(315) 732-0689
Mailing address
83 GENESEE ST, NEW HARTFORD, NY 13413-2334
(315) 732-0995
(315) 732-0689
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
223258
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01762770
—
NY
01
—
040426014253
FIDELIS PROVIDER ID
NY
01
—
161541649
TAX IDENTIFICATION NUMBER
NY
01
—
175755
MVP PROVIDER ID NUMBER
NY
01
—
CJ3754
RAIL ROAD CARE ID NUMBER
NY
Enumeration date
06/16/2005
Last updated
02/20/2019
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