Provider Demographics
NPI:1952483059
Name:GAMACHE, FRANCIS W JR (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:W
Last Name:GAMACHE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:523 E 72ND ST FL 8
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4099
Mailing Address - Country:US
Mailing Address - Phone:212-988-5200
Mailing Address - Fax:212-988-0599
Practice Address - Street 1:523 E 72ND ST FL 8
Practice Address - Street 2:8TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4099
Practice Address - Country:US
Practice Address - Phone:212-988-5200
Practice Address - Fax:212-988-0599
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY120879207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB12534Medicare UPIN