Organization
LUTHERAN MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE GIBILARO M.D. (PRESIDENT)
(718) 630-5409
Entity
Organization
Contact information
Practice address
8201 4TH AVE APT 1D, BROOKLYN, NY 11209-4429
(718) 630-5409
(718) 748-5467
Mailing address
8201 4TH AVE APT 1D, BROOKLYN, NY 11209-4429
(718) 630-5409
(718) 748-5467
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
04/29/2011
Last updated
04/29/2011
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