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1104990472
GONNA SAMUEL
BROOKLYN, NY
NPI
1104990472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 196832)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
-- GONNA SAMUEL MD
5314 CHURCH AVE
BROOKLYN, NY 11203-3609
Phone number: 718-240-9031
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Mailing Address
-- GONNA SAMUEL MD
958 DOWNING RD
VALLEY STREAM, NY 11580-1509
Phone number: 917-302-8478
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