Organization
JOSE GORIS MD PC
Active
Organization
JOSE GORIS MD PC
Active
Parent organization
NO
Organization subpart
Yes
Provider details
NPI number
Legal business name
NO
Authorized official
LUIS BLANCO RPAC (PHYSICIAN ASSISTANT)
(212) 923-0408
Entity
Organization
Contact information
Practice address
435 FORT WASHINGTON AVENUE #1C, NEW YORK, NY 10033
(212) 923-0408
(212) 923-4032
Mailing address
40 PROSPECT STREET, MONROE, NY 10950
(845) 238-2168
(212) 923-4032
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
0050751
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02102849
—
NY
Enumeration date
02/15/2008
Last updated
03/10/2008
Update your record
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