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436 GWB MEDICAL OFFICE PC
NPI 1366952913
General Practice in New York, NY

Active since October 10, 2017
436 FORT WASHINGTON AVE APT 1A, NEW YORK, NY 10033(212) 923-0408(212) 923-7051 Get Directions Write a Review

NPPES record last updated: October 10, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 436 Gwb Medical Office Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

436 GWB MEDICAL OFFICE PC (NPI 1366952913) is a healthcare organization registered as a general practice in New York, New York and active in the NPI registry since October 2017. The organization lists Jose A Goris, Md, as its authorized official.

NPPES Registry Identity

NPI1366952913
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business Name436 GWB MEDICAL OFFICE PC
Location Address436 FORT WASHINGTON AVE APT 1ANew York, NY 10033-3533
Mailing Address435 Fort Washington Ave Apt 2bNew York, NY 10033-3527 · (212) 923-0408 · Fax (212) 923-7051
Phone(212) 923-0408
Fax(212) 923-7051
Organization SubpartNo
Authorized OfficialJose A GorisMd · (212) 923-0408
Enumeration DateOctober 10, 2017
✔ NPI 1366952913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedInternal MedicineTaxonomy 207R00000X
436 FORT WASHINGTON AVE APT 1A, New York, NY 10033
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Other Identifiers 1

Medicaid01740610NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 436 Gwb Medical Office PC's NPI number?

The NPI number for 436 Gwb Medical Office PC is 1366952913. It was assigned to this organization in the NPPES registry on October 10, 2017.

Where is 436 Gwb Medical Office PC located?

436 Gwb Medical Office PC is located at 436 Fort Washington Ave Apt 1A, New York, NY 10033. The listed phone number is (212) 923-0408.

What is 436 Gwb Medical Office PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for 436 Gwb Medical Office PC was last updated on October 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.