Organization
AZURE AESTHETICS AND OCULOFACIAL PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITHRA GONZALEZ MD (MD/OWNER)
(585) 319-2284
Entity
Organization
Contact information
Practice address
4590 MAIN ST, SNYDER, NY 14226-4548
(585) 319-2284
Mailing address
4590 MAIN ST, SNYDER, NY 14226-4548
(585) 319-2284
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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