Individual
ENID GORIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1827 EDISON AVE, BRONX, NY 10461-4101
(718) 863-7832
(718) 239-9989
Mailing address
1827 EDISON AVE, BRONX, NY 10461-4101
(718) 863-7832
(718) 239-9989
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N005792
NY
213ES0131X
Foot Surgery Podiatrist
N005792
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PG 4272
PROVIDER ID #
NY
Enumeration date
03/06/2006
Last updated
12/14/2015
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