Individual
BIANCA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3127 95TH ST, EAST ELMHURST, NY 11369-1745
(347) 515-8888
Mailing address
3127 95TH ST, EAST ELMHURST, NY 11369-1745
(347) 515-8888
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
586766
NY
163WX0800X
Orthopedic Registered Nurse
Primary
586766
NY
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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