KRISTOFFERSON GABRIEL TEMPLO

BROOKLYN, NY
NPI1396457990
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2022-12-15
Last Update Date2022-12-15
Business Address
KRISTOFFERSON GABRIEL TEMPLO
150 55TH ST
BROOKLYN, NY 11220-2508
Phone number: 718-630-7000
Mailing Address
KRISTOFFERSON GABRIEL TEMPLO
1077 NOSTRAND AVE UNIT 1
BROOKLYN, NY 11225-4121
Phone number: 469-674-0681