Provider Demographics
NPI:1871633503
Name:GAIL M DELASHO, MD, PC
Entity Type:Organization
Organization Name:GAIL M DELASHO, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:M
Authorized Official - Last Name:DELASHO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-948-1020
Mailing Address - Street 1:1230 MAMARONECK AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-5229
Mailing Address - Country:US
Mailing Address - Phone:914-948-1020
Mailing Address - Fax:914-948-1019
Practice Address - Street 1:1230 MAMARONECK AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-5229
Practice Address - Country:US
Practice Address - Phone:914-948-1020
Practice Address - Fax:914-948-1019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174105207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYD33957Medicare UPIN
NY51G641Medicare ID - Type Unspecified