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Individual

OKEANOS Z GERELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5141 BROADWAY, NEW YORK, NY 10034-1159
(916) 384-8511
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A54318
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
308351
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
A54318
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A543180
CA
Enumeration date
10/13/2006
Last updated
02/16/2024
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