Gomez, Doris

Gomez, Doris is an sole proprietor health care provider with primary practice located at 530 Old Country Rd , Westbury NY 11590-4500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gomez, Doris can be contacted via phone (516) 333-9833.

Contact Information

Primary practice address
530 Old Country Rd Westbury NY 11590-4500
Fax: (516) 333-9836
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 302715 New York

Profile Details

NPI number 1699862151
LBN Legal business name Gomez, Doris
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1699862151 NPPES
New York MEDICAID 02742836

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