Individual
GUSTINE GOMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
234 E 149TH ST, AMBULATORY, BRONX, NY 10451-5504
(718) 579-5879
Mailing address
234 EAST 149TH ST, AMBULATORY, BRONX, NY 10451
(718) 579-5879
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
48004411
NY
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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