MICHAEL GORE

BROOKLYN, NY
NPI1003823378
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  008532-1)
Enumeration Date2006-08-01
Last Update Date2009-05-12
Business Address
Mr. MICHAEL GORE PA
2818 OCEAN AVE SUITE #1
BROOKLYN, NY 11235-3170
Phone number: 718-934-8484
Mailing Address
Mr. MICHAEL GORE PA
482 TENNYSON DR
STATEN ISLAND, NY 10312-6552
Phone number: 718-360-8607