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1417029810
ALICIA E GOMENSORO
BROOKLYN, NY
NPI
1417029810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207RH0000X Internal Medicine, Hematology
(Licence: NY 118764)
Enumeration Date
2006-11-14
Last Update Date
2007-07-08
Business Address
-- ALICIA E GOMENSORO M.D.
4802 10TH AVE
BROOKLYN, NY 11219-2916
Phone number: 718-283-7650
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Mailing Address
-- ALICIA E GOMENSORO M.D.
219 GRASMERE DR
STATEN ISLAND, NY 10305-2816
Phone number: 718-283-7654
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