GARY T MIDELTON PHYSICIAN PC
Osteopathic Medicine at Mamaroneck Ave, White Plains, NY

License number
New York 225873
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. GARY T MIDELTON M.D.
Title: PRESIDENT
Phone: (914) 220-0136
Address
Address 2
100 Mamaroneck Ave FLOOR 2ND, White Plains, NY 10601
107 Halley Dr, Mount Ivy, NY 10970
National Provider ID: 1013122134
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GARY T. MIDELTON, PHYSICIAN, PC

25 County Ctr Rd, White Plains, NY 10607

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Aug 29, 2002
State ID:
2806474
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Gary Midelton Md, 25 County Ctr Rd, White Plains, NY 10607 (Physical)
Agent:
Gary T. Midelton,25 County Ctr Rd #A13, White Plains, NY 10607 (Physical)

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