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LUIS ERNESTO GOMEZ THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7679
(718) 992-7669
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3467
(718) 992-7669

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
327762
NY

Other

Enumeration date
06/15/2020
Last updated
04/05/2024
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