Michael Gao
Student in an Organized Health Care Education/Training Program in New York, NY. Individual provider (NPI-1).
NPI number1619706405
StatusActive
Last updated in NPPESJul 30, 2024
Details
- NPI
- 1619706405
- Entity type
- Individual (NPI-1)
- Name
- Michael Gao
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2024
- Certification date
- Jul 30, 2024
- Last updated
- Jul 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
622 W 168th StNew York, NY 10032-3720
Phone 617-602-3921
Mailing address
60 Haven Ave # Mg4517New York, NY 10032-2604
Phone 617-602-3921
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