Provider Demographics
NPI:1447270392
Name:GAYLE, LLOYD B (MD)
Entity type:Individual
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First Name:LLOYD
Middle Name:B
Last Name:GAYLE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1150 PARK AVENUE
Mailing Address - Street 2:SUITE 1F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1244
Mailing Address - Country:US
Mailing Address - Phone:212-452-5121
Mailing Address - Fax:212-452-5125
Practice Address - Street 1:1150 PARK AVENUE
Practice Address - Street 2:SUITE 1F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1244
Practice Address - Country:US
Practice Address - Phone:212-452-5121
Practice Address - Fax:212-452-5125
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2016-12-15
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Provider Licenses
StateLicense IDTaxonomies
NY161869208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA63329Medicare UPIN