Gaylord, James

Gaylord, James is an individual health care provider with primary practice located at 1184 State Route 50 , Ballston Lake NY 12019-1923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gaylord, James can be contacted via phone (518) 384-1281.

Contact Information

Primary practice address
1184 State Route 50 Ballston Lake NY 12019-1923
Fax: (518) 384-0321
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 184003 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 184003 New York

Profile Details

NPI number 1831273762
LBN Legal business name Gaylord, James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Jan 30th, 2013 - about 11 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 1831273762 NPPES
New York MEDICAID 01461949

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