Individual
MR. GREG DATILES GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT-NPS, RPFT, AEC
Contact information
Practice address
423 E 23RD ST, RESPIRATORY CARE SERVICES ROOM 13095S, NEW YORK, NY 10010-5011
(212) 686-7500
(212) 951-6882
Mailing address
423 E 23RD ST, RESPIRATORY CARE SERVICES ROOM 13095S, NEW YORK, NY 10010-5011
(212) 686-7500
(212) 951-6882
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
007178
NY
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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