Individual
DR. GABRIEL GUARDARRAMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 W 111TH ST, SUITE 1E, NEW YORK, NY 10025-1813
(212) 222-1142
(212) 222-0220
Mailing address
600 W 111TH ST, SUITE 1E, NEW YORK, NY 10025-1813
(212) 222-1142
(212) 222-0220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
139951
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004616160
—
NY
Enumeration date
01/16/2006
Last updated
01/06/2019
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