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Individual

JOAO CASANOVA GONCALVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1275 YORK AVE, GYN SERVICE, NEW YORK, NY 10065-6007
(929) 284-5200
Mailing address
1233 YORK AVE, APARTMENT 18Q, NEW YORK, NY 10065-6306
(929) 284-5200

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
P96728
NY

Other

Enumeration date
07/16/2015
Last updated
07/16/2015
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