DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KIMBERLY GOMEZ

MEDICARE:   KIMBERLY  GOMEZ
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
1363A00000XPhysician Assistant018301NY

General Provider Information

NPI Number : 1548668841
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY GOMEZ
Provider Business Mailing Address
First Line : 1958 FRANKLIN RD
Second Line :
City : VALLEY STREAM
State : NY
Zip : 11580-2313
Country : US
Telephone Number : 516-592-3268
Fax Number : 516-992-4637
Provider Business Practice Location Address
First Line : 1728 SUNRISE HWY
Second Line :
City : MERRICK
State : NY
Zip : 11566-3745
Country : US
Telephone Number : 516-992-4568
Fax Number : 516-992-4637
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2014
Last Update Date : 12/18/2014

Similar Medicare Providers

1588521363 — JORDYN LIEBERMAN PA-C
Practice Location Address:
1728 SUNRISE HWY
MERRICK, NY
11566-3745
Practice Phone: 516-279-3352
Practice Fax:
1952547952 — DR. CHARLES MILCHTEIM M.D.
Practice Location Address:
1728 SUNRISE HWY
MERRICK, NY
11566-3745
Practice Phone: 516-302-8180
Practice Fax: 516-302-8169
1972954212 — ASHLEY ELIZABETH BATHKE PA-C
Practice Location Address:
1728 SUNRISE HWY
MERRICK, NY
11566-3745
Practice Phone: 516-536-2800
Practice Fax: 516-536-6820
1659883486 — TRUE NORTH MEDICAL GROUP PC
Practice Location Address:
1728 SUNRISE HWY
MERRICK, NY
11566-3745
Practice Phone: 516-992-4700
Practice Fax: 516-992-4707
1760982870 — TRUE NORTH MEDICAL GROUP PC
Practice Location Address:
1728 SUNRISE HWY
MERRICK, NY
11566-3745
Practice Phone: 516-992-4700
Practice Fax: 516-992-4707
1124584172 — JAMIE ILENE KLEIN PA-C
Practice Location Address:
1728 SUNRISE HWY
MERRICK, NY
11566-3745
Practice Phone: 516-218-6789
Practice Fax:

Directions to “ KIMBERLY GOMEZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.