Individual
DR. SIMON K GORWARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACC
Contact information
Practice address
1 COLUMBIA ST, SUITE 200, POUGHKEEPSIE, NY 12601-3923
(845) 473-1188
(845) 473-0896
Mailing address
1 COLUMBIA ST, SUITE 200, POUGHKEEPSIE, NY 12601-3923
(845) 473-1188
(845) 473-0896
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
202115
NY
207RI0011X
Interventional Cardiology Physician
Primary
202115
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02154218
—
NY
Enumeration date
02/10/2006
Last updated
01/09/2015
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