Most Relevant Information
Provider Data
| NPI Number: | 1003103557 |
| Provider Name: | MARIO GUSTAVE M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0805X |
| Specialty: | Psychiatry & Neurology |
| License Number: | 232004 |
Most Important Dates
| Enumeration Date: | 07/06/2011 |
| Last Updated: | 07/06/2011 |
Provider Practice Location
585 SCHENECTADY AVE
BROOKLYN
NY
112031891
Practice Location Phone/Fax
| Phone: | 7186045281 |
| Fax: |
Provider Mailing Location
585 SCHENECTADY AVE
BROOKLYN
NY
112031891
Provider Mailing Phone/Fax
| Phone: | 7186045281 |
| Fax: |