Susana Gomilla PA

NPI 1487819439 - Physician Assistant - 363A00000X

NPI Details
NPI 1487819439
Gender Female
Enumeration Date 07/18/2008
Last Updated 07/18/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
5645 MAIN ST
DEPARTMENT OF OB/GYN
FLUSHING NY, 11355-5045, US
Phone (718) 670-1517
Fax
Business Location
5645 MAIN ST
DEPARTMENT OF OB/GYN
FLUSHING NY, 11355-5045, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 9032-1
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According to our database, Susana Gomilla PA NPI is 1487819439, taxonomy code is 363A00000X and license number is 9032-1, license state is located at New York. Susana Gomilla PA physically located at 5645 Main St, Flushing NY, 11355-5045. NPI Number Susana Gomilla PA has the Individual type.

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1487819439 NPI number is provided on an as is basis without warranty of any kind. 1487819439 is maintained by the National Plan & Provider Enumeration System. The contents of Susana Gomilla PA are for informational purposes only.