Individual
ALICIA E GOMENSORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-7650
(718) 635-7313
Mailing address
219 GRASMERE DR, STATEN ISLAND, NY 10305-2816
(718) 283-7654
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
118764
NY
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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