GATES MEDICINE PC NPI 1104791896

NPI Information

  • NPI: 1104791896
  • Provider Name: GATES MEDICINE PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 420 GATES AVE
    BROOKLYN, NY
    ZIP 11216
  • Phone: (917) 940-3016

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NPI Details

GATES MEDICINE PC is a family medicine in Brooklyn, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GATES MEDICINE PC NPI is 1104791896. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

420 GATES AVE
BROOKLYN, NY
ZIP 11216-488
Phone: (917) 940-3016

The provider's authorized official is Afshin Shahkoohi .
The authorized official title is President and has the following contact phone number (917) 940-3016.

The enumeration date for this NPI number is 10/10/2025 and was last updated on 10/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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