Newshan, Gayle Theresa

Newshan, Gayle Theresa is an individual health care provider with primary practice located at 2 Park Ave St Johns Riverside Park Care Clinic, Yonkers NY 10703-3402. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Newshan, Gayle Theresa can be contacted via phone (914) 964-7396.

Contact Information

Primary practice address
2 Park Ave St Johns Riverside Park Care Clinic Yonkers NY 10703-3402
Phone: (914) 964-7396
Fax: (914) 964-7952
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 335793 1 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 300741 New York

Profile Details

NPI number 1568495786
LBN Legal business name Newshan, Gayle Theresa
Credentials PH D NP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Nov 4th, 2008 - 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 1568495786 NPPES
New York MEDICAID 01355706

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