Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 283906 | NY |
NPI | 1023389871 |
---|---|
Provider Name | Dr. Gabriel Martin Ferreira |
First Address | Bronx, NY 10452-9431 |
Second Address | Bronx, NY 10452-9431 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2012 |
Last Update Date | 07/02/2017 |