Individual
MR. ORLANDO VICTORIANO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., OTR/L
Contact information
Practice address
9012 184TH ST, JAMAICA, NY 11423-2419
(917) 418-3715
Mailing address
9012 184TH ST, JAMAICA, NY 11423-2419
(917) 418-3715
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
013195-1
NY
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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