NPI | 1205902988 |
---|---|
Doing Business As | ST. GABRIELE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | CESAR A. VERA Owner 718-733-1999 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Additional Taxonomies | 207R00000X Internal Medicine |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 096722) | |
207RG0100X Internal Medicine, Gastroenterology | |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
208800000X Urology | |
Enumeration Date | 2006-11-27 |
Last Update Date | 2025-09-11 |