ALICIA E GOMENSORO (NPI# 1417029810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417029810 |
| Entity Type | Individual |
| Full Name | ALICIA E GOMENSORO |
| Credential | M.D. |
| Practice Address |
4802 10th Ave Brooklyn NY 11219-2916 |
| Mailing Address |
219 Grasmere Dr Staten Island NY 10305-2816 |
| Practice Telephone | 7182837650 |
| Practice Fax Number | 7186357313 |
| Mailing Telephone | 7182837654 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
118764 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
4802 10TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316943871 | Samantha Paige Jellinek | Pharmacist | 4802 10th Ave, Brooklyn, NY 11219-2844 | 2005-06-21 |
| 1730789959 | Arjun Basnet | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-27 |
| 1679171623 | Shehanaz Shajahan | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-13 |
| 1215534524 | Syed Mohammad Mazhar Uddin | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-08 |
| 1619581899 | Laurel Wright | Psychologist | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-09-03 |
| 1780296749 | Rabiah Ashraf | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-08-20 |
| 1275142820 | Jenna Danae Katherine Kroeker | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-29 |
| 1720696347 | Jay Donald Keith | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-20 |
| 1003424912 | Amit Dhaliwal | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-16 |
| 1912515826 | Supraja Achuthanandan | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
| Find all providers in zip 11219 | ||||
| Taxonomy Code | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215991070 | Madhumati R Kalavar | Internal Medicine | 566 Schenectady Ave, Brooklyn, NY 11203-1821 | 2006-04-17 |
| 1689924763 | Ayanna Michelle Baptiste | Internal Medicine | 506 6th St, New York Methodist Hospital, Brooklyn, NY 11215-3609 | 2012-09-15 |
| 1003931676 | Ralph Carmel | Internal Medicine | 506 6th St, Department of Medicine, Brooklyn, NY 11215-3609 | 2007-03-20 |
| 1316980626 | Elizabeth J Haynes | Internal Medicine | 1335 Linden Blvd, Ste 100, Brooklyn, NY 11212 | 2006-06-14 |
| 1770558736 | Joel M Schwartz | Internal Medicine | 450 Clarkson Ave, Kings County Hospital, Brooklyn, NY 11203 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920793 | Kylee Maclachlan | Internal Medicine | 250 E 77th St Apt 5a, New York, NY 10075-2241 | 2020-07-29 |
| 1174998249 | Cancer and Blood Medical Services of Ny, PC | Internal Medicine | 2 Longview Ave # 4, White Plains, NY 10601-5000 | 2015-12-01 |
| 1114283785 | Marcia Noreen Paddock | Internal Medicine | 428 E. 72nd St, Suite 300, New York, NY 10021 | 2012-04-07 |
| 1801174909 | Fred Rosner | Internal Medicine | 750 Elvira Avenue, Far Rockaway, NY 11691-5405 | 2011-07-25 |
| 1891086740 | Lisa Dianne Cupit | Internal Medicine | 5 Deauville Ct, Northport, NY 11768-2105 | 2011-04-27 |
| 1184923898 | Daniel Edward Sammartino | Internal Medicine | 2 Longview Ave Fl 2, White Plains, NY 10601-5000 | 2011-03-21 |
| 1669609343 | Catherine Josephine Pelczar-wissner | Internal Medicine | 31 Wood Ave, Ardsley, NY 10502-1025 | 2009-06-19 |
| 1982856415 | Marshall Albert Lichtman | Internal Medicine | 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 | 2008-10-15 |
| 1174714927 | Barry Wenz | Internal Medicine | 752 Titicus Rd, North Salem, NY 10560-2201 | 2007-08-07 |
| 1013134964 | Hudson Valley Health Group | Internal Medicine | 3141 Us Route 9w, Suite 100, New Windsor, NY 12553-6709 | 2007-04-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ALICIA E GOMENSORO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.