Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

436 Gwb Medical Office PC

Organization Internal Medicine Physician · NPI 1366952913

436 Gwb Medical Office PC is an Internal Medicine Physician in New York, New York. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

436 Fort Washington Ave Apt 1A
New York, NY 10033-3533
Phone: (212) 923-0408
Fax: (212) 923-7051
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1366952913
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jose Goris — Md · (212) 923-0408
NPI enumeratedOctober 10, 2017
Last updated in NPPESOctober 10, 2017
Mailing address435 Fort Washington Ave Apt 2b, New York, NY 10033-3527

Other providers in New York