NPI 1114769692
Jerry Jason Gomez, CHSD
Practice location
- Address
- 1623 Flatbush Ave, Brooklyn, NY 11210-3262
- Phone
- (718) 377-5755
- Mailing address
- 335 48th St, Brooklyn, NY 11220-1113
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1114769692
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Jun 2024
- Record last updated
- 6 Jun 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.