Provider Demographics
NPI:1669979860
Name:GOMEZ-QUINONEZ, CLARA MARIA (MD)
Entity type:Individual
Prefix:DR
First Name:CLARA
Middle Name:MARIA
Last Name:GOMEZ-QUINONEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 SPRING MEADOW DR APT 8
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14221-8411
Mailing Address - Country:US
Mailing Address - Phone:301-910-2221
Mailing Address - Fax:
Practice Address - Street 1:6095 TRANSIT RD
Practice Address - Street 2:
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-1803
Practice Address - Country:US
Practice Address - Phone:716-634-9303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-12
Last Update Date:2023-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY317212207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty