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DAVID FELIPE BRICENO GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-8893
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-8893

Taxonomy

Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
298574
NY
390200000X
Student in an Organized Health Care Education/Training Program
BP10039826
TX

Other

Enumeration date
08/06/2012
Last updated
12/11/2019
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