Provider Demographics
NPI:1548147911
Name:GPC CONSULTANTS LLC
Entity type:Organization
Organization Name:GPC CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NAT
Authorized Official - Middle Name:
Authorized Official - Last Name:DESIRE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:631-675-0488
Mailing Address - Street 1:681 WHISKEY RD UNIT 2
Mailing Address - Street 2:
Mailing Address - City:RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:11961-8351
Mailing Address - Country:US
Mailing Address - Phone:631-675-0488
Mailing Address - Fax:631-910-2022
Practice Address - Street 1:681 WHISKEY RD UNIT 2
Practice Address - Street 2:
Practice Address - City:RIDGE
Practice Address - State:NY
Practice Address - Zip Code:11961-8351
Practice Address - Country:US
Practice Address - Phone:631-675-0488
Practice Address - Fax:631-910-2022
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GPC CONSULTANTS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty