Chong-Gayle, Audrey
Chong-Gayle, Audrey is an sole proprietor health care provider with primary practice located at 215 Islip Ave Ste 1, Islip NY 11751-3028. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Chong-Gayle, Audrey can be contacted via phone (631) 277-0558.Contact Information
Primary practice address
215 Islip Ave Ste 1
Islip NY 11751-3028
Phone: (631) 277-0558
Fax: (631) 277-0978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 214816 | New York |
Profile Details
| NPI number | 1689966343 |
|---|---|
| LBN Legal business name | Chong-Gayle, Audrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2011 |
| Last updated | May 12th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689966343 | NPPES |
| New York | MEDICAID | 02022351 |
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