Individual
DR. GABRIELE SELMA DE VOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 BOUCK AVE, BRONX, NY 10469-5605
(718) 918-3060
(718) 918-4469
Mailing address
2510 BOUCK AVE, BRONX, NY 10469-5605
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
240198
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02718385
—
NY
Enumeration date
12/04/2006
Last updated
07/08/2007
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