Individual
GAYATHRI GARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
174 LILY POND AVE, STATEN ISLAND, NY 10305-4608
(718) 727-7935
(718) 727-7937
Mailing address
174 LILY POND AVE, STATEN ISLAND, NY 10305-4608
(718) 727-7935
(718) 727-7937
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
249019
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03529311
—
NY
Enumeration date
08/22/2008
Last updated
01/27/2016
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