Individual
ROBERTO LO GULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(646) 920-1224
Mailing address
138 E 36TH ST APT 5A, NEW YORK, NY 10016-3507
(646) 920-1224
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
310043-01
NY
Other
Enumeration date
04/29/2021
Last updated
10/03/2024
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