Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 245647-1 | NY |
NPI | 1346360161 |
---|---|
Provider Name | Dr. Gabrielle Gossner |
First Address | Philadelphia, PA 19195-2239 |
Second Address | New York, NY 10019-8022 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2007 |
Last Update Date | 15/02/2013 |