Individual
MRS. GAVERAL DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(646) 429-2938
Mailing address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(646) 429-2938
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
337809
NY
Other
Enumeration date
08/02/2013
Last updated
01/12/2017
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