Individual
DR. MYLES EDWARD GOMBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 WOOD ROAD, SANDS POINT, NY 11050
(516) 652-7647
Mailing address
30 WOOD ROAD, SANDS POINT, NY 11050
(516) 652-7647
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
129224
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00607561
—
NY
Enumeration date
12/13/2006
Last updated
08/08/2010
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