Provider Demographics
NPI:1326001397
Name:NAFARRETE, GILDA FERNANDEZ (MD)
Entity Type:Individual
Prefix:DR
First Name:GILDA
Middle Name:FERNANDEZ
Last Name:NAFARRETE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GILDA
Other - Middle Name:
Other - Last Name:FERNANDEZ-NAFARRETE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PC
Mailing Address - Street 1:3007 AVENUE T
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-4007
Mailing Address - Country:US
Mailing Address - Phone:718-758-0888
Mailing Address - Fax:718-998-1838
Practice Address - Street 1:2081 E 54TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-4712
Practice Address - Country:US
Practice Address - Phone:718-758-0888
Practice Address - Fax:718-758-0880
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY190418207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01452208Medicaid
NY01452208Medicaid
NY16L531Medicare PIN