Individual
DIANA M GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
274 MADISON AVE RM 1501, NEW YORK, NY 10016-0701
(212) 203-1773
(646) 665-4427
Mailing address
274 MADISON AVE RM 1501, NEW YORK, NY 10016-0701
(212) 203-1773
(646) 665-4427
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F340585
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404712
NY
Other
Enumeration date
06/11/2016
Last updated
04/26/2023
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