Gately, David Wayne

Gately, David Wayne is an individual health care provider with primary practice located at 79 Middleville Rd Va Medical Center, Psychology Service (116B), Northport NY 11768-2200. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gately, David Wayne can be contacted via phone (631) 261-4400.

Contact Information

Primary practice address
79 Middleville Rd Va Medical Center, Psychology Service (116B) Northport NY 11768-2200
Phone: (631) 261-4400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 011314 New York

Profile Details

NPI number 1417958471
LBN Legal business name Gately, David Wayne
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jul 11th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417958471 NPPES
New York MEDICAID 01478091

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