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Contact Information

GARY N ENGLE, PA
3926 STATE ROUTE 12
LYONS FALLS, NY13368
 Phone: 315-346-6824
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for GARY N ENGLE · (Male)

NPI # 1023026549
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/03/2006
Last updated 03/11/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 000714
  • NY Medicaid 01941560
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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