Organization
GABISA MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELO VENEGAS PIZARRO MD (MEDICAL DIRECTOR)
(347) 524-1914
Entity
Organization
Contact information
Practice address
JFK TERMINAL 4, TERMINAL 4 ARRIVALS WEST, JAMAICA, NY 11430
(347) 524-1914
Mailing address
659 GLENWOOD AVE, TEANECK, NJ 07666-6532
(347) 524-1914
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
01/24/2021
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