Organization
436 GWB MEDICAL OFFICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE A GORIS MD (MD)
(212) 923-0408
Entity
Organization
Contact information
Practice address
436 FORT WASHINGTON AVE APT 1A, NEW YORK, NY 10033-3533
(212) 923-0408
(212) 923-7051
Mailing address
435 FORT WASHINGTON AVE APT 2B, NEW YORK, NY 10033-3527
(212) 923-0408
(212) 923-7051
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01740610
—
NY
Enumeration date
10/10/2017
Last updated
10/10/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us