- Practice location
- 436 Fort Washington Ave Apt 1A, New York, NY 10033-3533
- Phone
- 212-923-0408
- Fax
- 212-923-7051
- Last updated
- October 10, 2017
436 Gwb Medical Office PC is a healthcare organization based in New York, NY. 436 Gwb Medical Office PC practices in New York, NY. The NPI Number for 436 Gwb Medical Office PC is 1366952913. The current practice location address for 436 Gwb Medical Office PC is 436 Fort Washington Ave Apt 1A, New York, NY 10033-3533 and can be reached out via phone at 212-923-0408 and via fax at 212-923-7051.
Provider Profile Details
- NPI Number
- 1366952913
- Provider Name
- 436 Gwb Medical Office PC
- Provider Entity Type
- Organization
- Address
- 436 Fort Washington Ave Apt 1A, New York, NY 10033-3533
- Phone Number
- 212-923-0408
- Fax Number
- 212-923-7051
- Primary Taxonomy
- General Practice · 208D00000X
- Organization Subpart
- No
- Authorized Official
- Jose A Goris, MD · MD · 212-923-0408
- Provider Enumeration Date
- October 10, 2017
- Last Update Date
- October 10, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 436 Fort Washington Ave Apt 1A
New York, NY 10033-3533 - City
- New York
- State
- New York
- Zip
- 10033-3533
- Phone Number
- 212-923-0408
- Fax Number
- 212-923-7051
Provider Business Mailing Address Details
- Address
- 435 Fort Washington Ave Apt 2B
New York, NY 10033-3527 - City
- New York
- State
- NY
- Zip
- 10033-3527
- Phone Number
- 212-923-0408
- Fax Number
- 212-923-7051
License Information
- Taxonomy (1)
- Internal Medicine · 207R00000X
- Taxonomy (2)
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other General Practice providers near New York, NY
View all General Practice providers in New York →Frequently Asked Questions
What is the NPI number of 436 Gwb Medical Office PC?
The NPI number of 436 Gwb Medical Office PC is 1366952913. It was assigned on October 10, 2017 and is currently active in the NPPES registry.
What is the specialty of 436 Gwb Medical Office PC?
436 Gwb Medical Office PC is registered under the primary taxonomy General Practice (code 208D00000X).
Where does 436 Gwb Medical Office PC practice?
The practice location is 436 Fort Washington Ave Apt 1A, New York, NY 10033-3533. The office can be reached at 212-923-0408 (phone) or 212-923-7051 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366952913 directly on the NPPES registry website.