Individual
MR. CARL SALERA GASTANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
530 1ST AVE, NEW YORK, NY 10016-6402
(718) 838-0792
Mailing address
953 SOUTHERN BLVD RM 202, BRONX, NY 10459-3428
(718) 589-4541
(718) 893-8511
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
13694
CT
363LP2300X
Primary Care Nurse Practitioner
Primary
F342291-1
NY
Other
Enumeration date
06/11/2018
Last updated
09/30/2024
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