Provider Demographics
NPI:1124288170
Name:GORY, ALINA (MD)
Entity type:Individual
Prefix:DR
First Name:ALINA
Middle Name:
Last Name:GORY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ALINA
Other - Middle Name:
Other - Last Name:KOGAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:664 THWAITES PL APT 2A
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-7925
Mailing Address - Country:US
Mailing Address - Phone:718-653-0866
Mailing Address - Fax:718-653-0866
Practice Address - Street 1:664 THWAITES PL APT 2A
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-7925
Practice Address - Country:US
Practice Address - Phone:718-653-0866
Practice Address - Fax:718-653-0866
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY248286207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine