Provider Demographics
NPI:1275909210
Name:GGI BROKERAGE INC
Entity Type:Organization
Organization Name:GGI BROKERAGE INC
Other - Org Name:GGI MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-490-7706
Mailing Address - Street 1:4307 39TH PL STE LD
Mailing Address - Street 2:SUITE #LD
Mailing Address - City:SUNNYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11104-4363
Mailing Address - Country:US
Mailing Address - Phone:212-490-7706
Mailing Address - Fax:646-490-9810
Practice Address - Street 1:4307 39TH PL STE LD
Practice Address - Street 2:SUITE #LD
Practice Address - City:SUNNYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11104-4363
Practice Address - Country:US
Practice Address - Phone:212-490-7706
Practice Address - Fax:646-490-9810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY11879811251X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage