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Provider Information for 1205449113

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

ALEXANDRA GOMEZ NP

Gender: FEMALE

Individual NPI: 1205449113

Calendar   Last Updated:  2021-01-05
  Certification Date:  2021-01-05

Details

Name Value
NPI 1205449113
Enumeration Date 2020-08-29
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 2233 ESPLANADE AVE
BRONX, NY 10469-5405
United States

Phone: 718-918-1100 | Fax: 718-918-1106
View Map External Link
Primary Practice Address 2233 ESPLANADE AVE
BRONX, NY 10469-5405
United States

Phone: 718-918-1100 | Fax: 718-918-1106
View Map External Link
Secondary Practice Address 2521 HONE AVE
BRONX, NY 10469-4401
United States

Phone: 646-418-1584 | 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 363LA2200X - Nurse Practitioner Adult Health NY 309898