Individual
DR. PAUL GUSMORINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 E 17TH ST, NEW YORK, NY 10003-3804
(212) 598-6606
(212) 598-6468
Mailing address
301 E 17TH ST, NEW YORK, NY 10003-3804
(646) 356-9440
(646) 356-9468
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
126493
NY
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
126493
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00541800
—
NY
Enumeration date
11/06/2006
Last updated
08/25/2021
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