Provider Demographics
NPI:1043318140
Name:RODKE, GAE MICHELE (MD)
Entity Type:Individual
Prefix:DR
First Name:GAE
Middle Name:MICHELE
Last Name:RODKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:185 WEST END AVE
Mailing Address - Street 2:SUITE 1D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-5540
Mailing Address - Country:US
Mailing Address - Phone:212-496-9800
Mailing Address - Fax:212-496-9891
Practice Address - Street 1:185 WEST END AVE
Practice Address - Street 2:SUITE 1D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-5540
Practice Address - Country:US
Practice Address - Phone:212-496-9800
Practice Address - Fax:212-496-9891
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1542491207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR2783187OtherDEA
AR2783187OtherDEA
29D491Medicare ID - Type Unspecified