Basic Information
| Provider Information | |||||||||
| NPI: | 1043638091 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GAO | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | C | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 505 E 70TH ST | ||||||||
| Address2: | WEILL CORNELL INTERNAL MEDICINE ASSOCIATES | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100214872 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127469663 | ||||||||
| FaxNumber: | 2127463609 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 GUSTAVE L LEVY PL | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100296504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2122411653 | ||||||||
| FaxNumber: | 2122896393 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/06/2014 | ||||||||
| LastUpdateDate: | 07/06/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/06/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | 288502-1 | NY | Y | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | 288502-1 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.