Provider Demographics
NPI:1114040987
Name:CAWKWELL, GAIL (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:
Last Name:CAWKWELL
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 CEDAR HILL RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10506-2016
Mailing Address - Country:US
Mailing Address - Phone:914-234-4788
Mailing Address - Fax:914-234-7020
Practice Address - Street 1:COLUMBIA
Practice Address - Street 2:3959 BROADWAY BHN 106
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-305-9304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY223934-12080P0216X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0216XAllopathic & Osteopathic PhysiciansPediatricsPediatric Rheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVF06902Medicare UPIN