Individual
HENRY GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1983 MARCUS AVE, SUITE E 124, LAKE SUCCESS, NY 11042
(516) 627-2121
(516) 627-4922
Mailing address
1983 MARCUS AVE, SUITE E 124, LAKE SUCCESS, NY 11042
(516) 627-2121
(516) 627-4922
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
188830
NY
Other
Enumeration date
06/29/2006
Last updated
08/01/2014
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