| Organization Name: | JOSE A GORIS, MD,PC |
| NPI Number: | 1477673077 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSE A GORIS (PRESIDENT) |
| Mailing Address: | 435 Fort Washington Ave Suite 1c New York |
| State: | NY US |
| Postal Code: | 100333506 |
| Phone Number: | 2129230408 |
| Fax Number: | 2127405163 |
| NPI Enumeration Date: | 03/29/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 190663 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |