Individual
KRISTOFFERSON GABRIEL TEMPLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7000
Mailing address
1077 NOSTRAND AVE UNIT 1, BROOKLYN, NY 11225-4121
(469) 674-0681
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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