Provider Demographics
NPI:1477731990
Name:GAYSYNSKY, JULY (MD)
Entity Type:Individual
Prefix:DR
First Name:JULY
Middle Name:
Last Name:GAYSYNSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 E MERRICK RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-5925
Mailing Address - Country:US
Mailing Address - Phone:516-599-5533
Mailing Address - Fax:516-599-5534
Practice Address - Street 1:145 E MERRICK RD
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-5925
Practice Address - Country:US
Practice Address - Phone:516-599-5533
Practice Address - Fax:516-599-5534
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY240804-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine