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Individual

ALICJA H GORACY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2054
(718) 245-1565
(718) 245-1565
Mailing address
156 CHESTNUT STREET, ENGLEWOOD CLIFFS, NJ 07632
(718) 245-1565
(718) 245-1565

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
192718
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01692593
NY
01
MA643319
LICENSE
NJ
Enumeration date
07/02/2006
Last updated
05/01/2015
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