OrganizationActive
436 Gwb Medical Office PC
NPI 1366952913 · General Practice Physician · New York, NY
Provider details
- NPI number
- 1366952913
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jose Goris, MD
Practice location
436 Fort Washington Ave Apt 1a
New York, NY 10033-3533
Phone: (212) 923-0408
Fax: (212) 923-7051
Mailing address
435 Fort Washington Ave Apt 2b
New York, NY 10033-3527
Registry dates
- Enumerated
- 2017-10-10
- Last updated
- 2017-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.