Individual
DR. CHONA CUDAL FERNANDEZ-GULMATICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3103 EMMONS AVE, BROOKLYN, NY 11235-1709
(718) 240-2000
(718) 240-2260
Mailing address
3103 EMMONS AVE, BROOKLYN, NY 11235-1709
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
188438-1
NY
208000000X
Pediatrics Physician
188438-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01723880
—
NY
Enumeration date
07/29/2005
Last updated
03/07/2023
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