Individual
DANIELA LAURA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
311 AMSTERDAM AVENUE, PHB, NEW YORK, NY 10023
(917) 441-9141
Mailing address
311 AMSTERDAM AVE, PHB, NEW YORK, NY 10023-1753
(917) 441-9141
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002113
NY
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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