Gvpdo Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

216012 Issued in NY

Legal business name

GVPDO MEDICINE PC

Practice address

20 W 38TH St
Suite 306
New York, NY 10018-6228

Phone

(212) 768-1600

Fax

(212) 768-1606

NPI assigned

Jul 18, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Grace M Vasconez Pereira, DO

Title

Director

Phone

(212) 929-3334

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1124316690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W 15TH ST",
            "address_2": "SUITE 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116433",
            "telephone_number": "212-929-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W 38TH ST",
            "address_2": "SUITE 306",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186228",
            "telephone_number": "212-768-1600",
            "fax_number": "212-768-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GVPDO MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "VASCONEZ PEREIRA",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-929-3334",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "216012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marya Gwadz, PH.D.
• Angela S Gwak, MFT, PHD
• Donna Gwak, PA-C
• Brynn Gwartzman

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.