Individual
ARIE GUNARSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029-7491
(212) 423-8914
Mailing address
1901 1ST AVE DEPT OF, NEW YORK, NY 10029-7491
(212) 423-8914
(212) 423-8912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
302058
NY
Other
Enumeration date
07/16/2015
Last updated
07/29/2020
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