Individual
CARMEN M GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1440 STORY AVE, BRONX, NY 10473-4909
(718) 860-5060
(718) 860-5100
Mailing address
1440 STORY AVE, BRONX, NY 10473-4909
(718) 860-5060
(718) 860-5100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
440104-1
NY
Other
Enumeration date
04/03/2012
Last updated
04/24/2012
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