Individual
JERRY JASON GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHSD
Contact information
Practice address
1623 FLATBUSH AVE, BROOKLYN, NY 11210-3262
(718) 377-5755
Mailing address
335 48TH ST, BROOKLYN, NY 11220-1113
(347) 495-4160
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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