Individual
ELISABETH GOMORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 PARK AVE, SUITE 1 & 2, NEW YORK, NY 10016-3801
(212) 779-1430
(212) 545-1925
Mailing address
30 PARK AVE, SUITE 1 & 2, NEW YORK, NY 10016-3801
(212) 779-1430
(212) 545-1925
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
155103
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01006344
—
NY
Enumeration date
12/09/2005
Last updated
02/13/2013
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