Individual
IOULIA GOURARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(718) 515-2330
Mailing address
426 E 81ST ST APT 4D, NEW YORK, NY 10028-5857
(917) 864-7170
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
300756
NY
2080P0214X
Pediatric Pulmonology Physician
Primary
300756
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/13/2016
Last updated
09/15/2022
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