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 |
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| Provider Name : | Ian Martinez Gampon |
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| Credential : | M.D. |
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| Gender : | Male |
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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 |
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| Phone Number : | 718-334-4952 |
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| Fax Number : | 718-334-4815 |
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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 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Jun, 2006 |
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| Last Updated On : | 23 Oct, 2007 |
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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 | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 227500 | NY |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 227500 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Ian Martinez Gampon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 02408804 | MEDICAID | NY | |
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 |
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| Phone Number : | 718-334-4952 |
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| Fax Number : | 718-334-4815 |
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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.