Individual
MR. BERNARD DELA CUESTA GABRIEL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
312 36TH ST, APT. 10, UNION CITY, NJ 07087-4735
(347) 804-9230
Mailing address
312 36TH ST, APT. 10, UNION CITY, NJ 07087-4735
(347) 804-9230
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
625271-1
NY
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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