Provider Demographics
NPI:1942205935
Name:GALE, JOSEPH P (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:P
Last Name:GALE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-2334
Mailing Address - Country:US
Mailing Address - Phone:315-732-0995
Mailing Address - Fax:315-732-0689
Practice Address - Street 1:4350 MIDDLE SETTLEMENT RD
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-5345
Practice Address - Country:US
Practice Address - Phone:315-732-0995
Practice Address - Fax:315-732-0689
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY223258207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCJ3754OtherRAIL ROAD CARE ID NUMBER
NY161541649OtherTAX IDENTIFICATION NUMBER
NY040426014253OtherFIDELIS PROVIDER ID
NY01762770Medicaid
NY175755OtherMVP PROVIDER ID NUMBER
NYAA1063Medicare ID - Type UnspecifiedPROVIDER ID