Individual
GINA GUDOFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2650
(212) 434-4512
Mailing address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2650
(212) 434-4512
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
223386
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02279894
—
NY
Enumeration date
05/04/2006
Last updated
06/23/2008
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