Provider Demographics
NPI:1447516356
Name:MUNOZ GOMEZ, SIGRIDH ALICIA (MD)
Entity type:Individual
Prefix:
First Name:SIGRIDH
Middle Name:ALICIA
Last Name:MUNOZ GOMEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:222 STATION PLZ N
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-3800
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:516-663-4613
Practice Address - Street 1:222 STATION PLZ N
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-3800
Practice Address - Country:US
Practice Address - Phone:516-663-2507
Practice Address - Fax:516-663-4613
Is Sole Proprietor?:No
Enumeration Date:2012-04-04
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA258255207R00000X, 207RI0200X
NY301980207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine