Individual
IVETTE G GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6 PAM DR, COMMACK, NY 11725-5214
(631) 559-6795
Mailing address
6 PAM DR, COMMACK, NY 11725-5214
(631) 559-6795
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
617514-01
NY
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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