Provider Demographics
NPI:1164507299
Name:GAYLE, MONICA V (RNP)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:V
Last Name:GAYLE
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 SHOREVIEW DR
Mailing Address - Street 2:APT. #3
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-1327
Mailing Address - Country:US
Mailing Address - Phone:718-405-4067
Mailing Address - Fax:718-405-4148
Practice Address - Street 1:MMG - FAMILY HEALTH CENTER
Practice Address - Street 2:360 EAST 193RD STREET
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458
Practice Address - Country:US
Practice Address - Phone:718-405-4067
Practice Address - Fax:718-405-4148
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF330372363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner