Individual
LUZ ESTRADA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
9413 FLATLANDS AVENUE, 201 E, BROOKLYN, NY 11236-3741
(718) 649-6464
(718) 649-6426
Mailing address
6734 SELFRIDGE ST, FOREST HILLS, NY 11375-5739
(917) 767-9004
(718) 649-6426
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004883
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01514323
—
NY
01
—
6200631
GHI
NY
Enumeration date
08/25/2006
Last updated
01/08/2021
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