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Organization
GABRIEL GUSTIN MD PC
Active
Organization
GABRIEL GUSTIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL GUSTIN MD (OWNER)
(917) 250-5893
Entity
Organization
Contact information
Practice address
4036 82ND ST STE 2, ELMHURST, NY 11373-1312
(718) 478-0338
(718) 478-6050
Mailing address
PO BOX 417, NEW CITY, NY 10956-0417
(917) 250-5893
(718) 478-6050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
213265
NY
Other
Enumeration date
01/31/2012
Last updated
11/07/2016
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