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Provider Information for 1053812370

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MAXIMO E GOMEZ ALMONTE MD

Gender: MALE

Individual NPI: 1053812370

Calendar   Last Updated:  2018-02-22
  Certification Date: 

Details

Name Value
NPI 1053812370
Enumeration Date 2018-02-22
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 1007 BERGEN BLVD FL 1
FORT LEE, NJ 07024-1503
United States

Phone: 917-342-1632 | Fax:
View Map External Link
Primary Practice Address 374 STOCKHOLM ST
BROOKLYN, NY 11237-4006
United States

Phone: 000-000-0000 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 193400000X SINGLE SPECIALTY GROUP
207R00000X - Internal Medicine
NY P08129