Whalio Doctors

NPI 1548414725

Evan Bradley Gaines, MD

Practitioner Sports Medicine (Orthopaedic Surgery) Physician New City, NY

Practice location

Address
350 S Main St, New City, NY 10956-3049
Phone
(845) 634-7500
Fax
(845) 634-7566
Mailing address
507 Airport Executive Park, Nanuet, NY 10954-5238

Registered specialties

Sports Medicine (Orthopaedic Surgery) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207XX0005X Licence 248779 (NY)

Registry record

NPI
1548414725
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Nov 2008
Record last updated
5 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.