Ian Martinez Gampon

M.D. | Pediatric Emergency Medicine | Male

Ian Martinez Gampon, M.D. is a Elmhurst, New York based Pediatric doctor with medical specialization in Pediatric Emergency Medicine. Current practice location of Ian Martinez Gampon is 7901 Broadway, Room A1-9, Elmhurst, New York - 11373-1329. He can be contacted on phone at 718-334-4952 and fax number 718-334-4815. Ian Martinez Gampon is a sole proprietor of his business.
NPI number (Unique professional ID) for Ian Martinez Gampon is 1578591509 which was assigned by NPPES on 29 Jun, 2006 and it was last updated on 23 Oct, 2007. Ian Martinez Gampon license number is 227500 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in New York.
Ian Martinez Gampon has special qualifications to manage emergencies in infants and children.
Complete Profile:
Ian Martinez Gampon basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics Pediatric Emergency Medicine
Provider Name :Ian Martinez Gampon
Credential :M.D.
Gender :Male
Business Address:
Ian Martinez Gampon address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :7901 Broadway, Room A1-9
Elmhurst, NY, 11373-1329
United States
Phone Number :718-334-4952
Fax Number :718-334-4815
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1578591509
NPI Entity Type : Individual
First Enrolment Date : 29 Jun, 2006
Last Updated On : 23 Oct, 2007
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ian Martinez Gampon are as mentioned. Primary taxonomy code for Ian Martinez Gampon, M.D. is 2080P0204X (Pediatrics Pediatric Emergency Medicine).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsNo227500NY
2080P0204XPediatrics Pediatric Emergency MedicineYes227500NY
Legacy Identifiers:
Other legacy medical identifiers of Ian Martinez Gampon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
02408804MEDICAIDNY
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :7901 Broadway, Room A1-9
Elmhurst, NY, 11373-1329
United States
Phone Number :718-334-4952
Fax Number :718-334-4815
Business Location:
Patients can refer following map for directions to Ian Martinez Gampon practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.