Individual
ALISON GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 DUTCH CT, EAST PATCHOGUE, NY 11772-4590
(631) 398-9161
Mailing address
3 DUTCH CT, EAST PATCHOGUE, NY 11772-4590
(631) 398-9161
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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