Individual
DR. GUSTAVO BARRAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(347) 798-9213
Mailing address
250 E 77TH ST APT 2D, NEW YORK, NY 10075-2199
(914) 885-6767
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
60-P121345-01
NY
Other
Enumeration date
05/19/2023
Last updated
07/13/2024
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