Provider Demographics
NPI:1447211685
Name:KING, GAIL L (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:L
Last Name:KING
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 E 84TH ST APT 2F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-6240
Mailing Address - Country:US
Mailing Address - Phone:646-867-1474
Mailing Address - Fax:866-748-5034
Practice Address - Street 1:444 E 84TH ST APT 2F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-6240
Practice Address - Country:US
Practice Address - Phone:646-867-1474
Practice Address - Fax:866-748-5034
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007485225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ57552Medicare PIN