Individual
MISS MIREYA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4701 72ND ST, WOODSIDE, NY 11377-6054
(929) 421-6407
Mailing address
4701 72ND ST, WOODSIDE, NY 11377-6054
(929) 421-6407
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NY
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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