IndividualActive
Alicia Gomensoro, M.D.
NPI 1417029810 · Hematology (Internal Medicine) Physician · Brooklyn, NY
Provider details
- NPI number
- 1417029810
- Entity type
- Individual
- Primary specialty
- Hematology (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 118764 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4802 10th Ave
Brooklyn, NY 11219-2916
Phone: (718) 283-7650
Fax: (718) 635-7313
Approximate (ZIP-level) locationGet directions
Mailing address
219 Grasmere Dr
Staten Island, NY 10305-2816
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.