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Individual

GILBERT DYVES BARJON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(516) 468-5846
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
F3439281
NY
363LF0000X
Family Nurse Practitioner
Primary
F3439281
NY

Other

Enumeration date
05/08/2019
Last updated
02/11/2021
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