Individual
JACQUELINE LEIGH GOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4141
Mailing address
541 1ST AVENUE, NEW YORK, NY 10016
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
322383
NY
Other
Enumeration date
04/02/2020
Last updated
10/15/2025
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