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Individual

DR. GERSON IVES GOMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18911 CROCHERON AVENUE, SUITE 1A, FLUSHING, NY 11358
(171) 853-9757
(171) 893-9302
Mailing address
189-11 CROCHERON AVENUE, SUITE 1A, FLUSHING, NY 11358-2488
(171) 853-9757
(171) 893-9302

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
130381
NY

Other

Enumeration date
08/30/2006
Last updated
10/09/2013
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