Individual
MARIO GUSTAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
585 SCHENECTADY AVE, BROOKLYN, NY 11203-1891
(718) 604-5281
Mailing address
585 SCHENECTADY AVE, BROOKLYN, NY 11203-1891
(718) 604-5281
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
232004
NY
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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