Provider Demographics
NPI:1144104563
Name:GOMEZ, YOMAYRA
Entity type:Individual
Prefix:
First Name:YOMAYRA
Middle Name:
Last Name:GOMEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 SHERMAN AVE APT 7A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-2549
Mailing Address - Country:US
Mailing Address - Phone:347-595-4483
Mailing Address - Fax:
Practice Address - Street 1:349 E 35TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-5001
Practice Address - Country:US
Practice Address - Phone:917-801-9150
Practice Address - Fax:929-567-2881
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist