Gongora, Diana

Gongora, Diana is an sole proprietor health care provider with primary practice located at 305 Lenox Ave Harlem Hosp., New York NY 10037. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, which is considered as her primary health care specialty. Gongora, Diana can be contacted via phone (212) 939-1000.

Contact Information

Primary practice address
305 Lenox Ave Harlem Hosp. New York NY 10037
Fax:
Website:

Health care specialties

Profile Details

NPI number 1063830966
LBN Legal business name Gongora, Diana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2014
Last updated Jul 12th, 2016 - about 8 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 1063830966 NPPES
New York MEDICAID 001279

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