Gary Lake, O.D

NPI 1902884695 · on the registry since 2006

Practice

Address: 200 Midway Park Dr
Middletown, NY 10940
Phone: (845) 343-6919
Fax: (845) 343-4545
Organisation at this address: Laura Sue Nizewitz
John T Sloma, Lcsw, Pc
Jack R Nizewitz & Gary J Lake Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-06-25

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