Individual
DR. MISTY LYNN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
400 FOREST AVE, BUFFALO, NY 14213-1207
(716) 816-2438
(716) 816-2496
Mailing address
175 NORTH ST, APT 114, BUFFALO, NY 14201-1536
(219) 614-5397
(716) 816-2496
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
052570
NY
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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