Gaesser, Michael
Gaesser, Michael is an individual health care provider with primary practice located at 1 Webster Ave Ste 301 Suite 301, 3Rd Floor, Poughkeepsie NY 12601-1364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gaesser, Michael can be contacted via phone (845) 790-6100.Contact Information
Primary practice address
1 Webster Ave Ste 301 Suite 301, 3Rd Floor
Poughkeepsie NY 12601-1364
Phone: (845) 790-6100
Fax: (845) 345-9966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 219612 | New York |
Profile Details
| NPI number | 1568461713 |
|---|---|
| LBN Legal business name | Gaesser, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Apr 23rd, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568461713 | NPPES |
| New York | Other | 08S011 | MEDICARE PTAN |
| New York | MEDICAID | 02104281 | MEDICARE PTAN |
| New York | Other | 363284 | MEDICARE PTAN |
| New York | Other | 446676 | MEDICARE PTAN |
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