GUSTAVO RAUL DEPETRIS

ASTORIA, NY
NPI1942226410
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  196792)
Enumeration Date2006-07-15
Last Update Date2007-07-08
Business Address
Dr. GUSTAVO RAUL DEPETRIS md
2322 30TH AVE 2ND FLOOR
ASTORIA, NY 11102-3255
Phone number: 718-956-7988
Mailing Address
Dr. GUSTAVO RAUL DEPETRIS md
2322 30TH AVE 2ND FLOOR
ASTORIA, NY 11102-3255
Phone number: 718-956-7988