Search › New York › 183500000X
Gordon Wall
NPI 1073893962 · on the registry since 2011 · sole proprietor
Practice
- Address
- 178 Route 52
Carmel, NY 10512 - Phone
- (845) 225-1038
- Fax
- (845) 228-0257
- Organisation at this address
- Shoprite Supermarkets, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-08-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York