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NPI Code Detail

MEDICARE: CARINA GOMEZ LCAT

MEDICARE: CARINA GOMEZ LCAT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor002161-1NY

General Provider Information

NPI Number : 1447606678
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARINA GOMEZ LCAT
Provider Business Mailing Address
First Line : 10050 GREAT HILLS TRL APT 1103
Second Line :
City : AUSTIN
State : TX
Zip : 78759-5846
Country : US
Telephone Number : 443-844-6795
Fax Number :
Provider Business Practice Location Address
First Line : 113 E 60TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10022-1939
Country : US
Telephone Number : 917-828-0590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2016
Last Update Date : 07/12/2024

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Directions to “ CARINA GOMEZ LCAT” Practice Location

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