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

Individual provider Pediatrics Physician · NPI 1639813694

Raphael David Gildengorn, MD is a Pediatrics Physician in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

74 Wallabout St
Brooklyn, NY 11249-7830
Phone: (718) 260-4600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 333345 (NY)

Record details

NPI number1639813694
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 26, 2022
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025

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