Individual
MARTHA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
13020 89TH RD, JAMAICA, NY 11418-3301
(929) 335-6542
(347) 765-2098
Mailing address
13020 89TH RD, JAMAICA, NY 11418-3301
(929) 335-6542
(347) 765-2098
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
585718
NY
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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