Barraza, Gustavo

Barraza, Gustavo is an sole proprietor health care provider with primary practice located at 1275 York Ave , New York NY 10065-6007. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Barraza, Gustavo can be contacted via phone (347) 798-9213.

Contact Information

Primary practice address
1275 York Ave New York NY 10065-6007
Phone: (347) 798-9213
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 60-P121345-01 New York

Profile Details

NPI number 1396437224
LBN Legal business name Barraza, Gustavo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2023
Last updated Jul 13th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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