Individual
MARIA FERNANDA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MMC - DEPT. OF PSYCHIATRY, 111 EAST 210TH STREET, KLAU 1, BRONX, NY 10467
(718) 920-2397
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-2397
(718) 920-6538
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
181287
NY
Other
Enumeration date
11/08/2006
Last updated
03/11/2008
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