person
Raphael David Gildengorn, MD
Student in an Organized Health Care Education/Training Program in Mineola, New York
NPI 1639813694

Raphael David Gildengorn is a Student in an Organized Health Care Education/Training Program based in East Meadow, NY. Raphael David Gildengorn practices in Mineola, NY and has the professional credentials of MD. The NPI Number for Raphael David Gildengorn is 1639813694 and holds a License No. (New York).

The current practice location address for Raphael David Gildengorn is 259 1St St, Mineola, NY and can be reached out via phone at 516-663-8443.

Location: 259 1St St, Mineola, NY, 11554-1010
person
Provider Profile Details
NPI Number
1639813694
Provider Name
Raphael David Gildengorn
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
259 1St St, Mineola, NY, 11554-1010
Phone Number
516-663-8443
Fax Number
Provider Enumeration Date
04/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
259 1St St
City
State
Zip
11501-3957
Phone Number
516-663-8443
Fax Number
person
Provider Business Mailing Address Details
Address
259 1St St
City
State
Zip
11501-3957
Phone Number
516-663-8443
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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