Individual
DR. JUSTIN GANDOMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2832
(718) 206-6000
Mailing address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2832
(718) 206-6000
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
R97510
NY
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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