Healthcare Provider Details

I. General information

NPI: 1629822176
Provider Name (Legal Business Name): GABRIEL ALEJANDRO ZUNIGA SALAZAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2024
Last Update Date: 12/08/2025
Certification Date:
Deactivation Date: 11/27/2024
Reactivation Date: 12/08/2025

III. Provider practice location address

1901 FIRST AVENUE AT 97TH STREET NYC H&H METROPOLITAN D
NEW YORK CITY NY
10029
US

IV. Provider business mailing address

1901 FIRST AVENUE AT 97TH STREET NYC H&H METROPOLITAN D
NEW YORK CITY NY
10029
US

V. Phone/Fax

Practice location:
  • Phone: 212-423-7834
  • Fax:
Mailing address:
  • Phone: 212-423-7834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: