| Hanette Gomez Dds | |
|
9605 40th Rd Corona NY 11368-2138 | |
| (718) 651-7070 | |
| (718) 651-6559 |
| Full Name | Hanette Gomez Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9605 40th Rd, Corona, New York |
| Authorized Official Name and Position | Julio Isidor (OFFICE MANAGER) |
| Authorized Official Contact | 7186517070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanette Gomez Dds 9605 40th Rd Corona NY 11368-2138 Ph: (718) 651-7070 | Hanette Gomez Dds 9605 40th Rd Corona NY 11368-2138 Ph: (718) 651-7070 |
| NPI Number | 1902177843 |
|---|---|
| Provider Enumeration Date | 01/24/2012 |
| Last Update Date | 01/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902177843 | NPI | - | NPPES |
| 01281218 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0438631 (New York) | Primary |
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