Individual
GUSTAVE J POGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-4970
(516) 562-3786
Mailing address
972 BRUSH HOLLOW RD, WESTBURY, NY 11590-1740
(516) 876-5555
(516) 876-5539
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
161229
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01463501
—
NY
Enumeration date
05/11/2006
Last updated
07/17/2012
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