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Individual

DR. AURORA LAUREL GONZALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
469 A FORT WASHINGTON AVE, NEW YORK, NY 10033
(212) 740-0457
(212) 740-7713
Mailing address
801 W 181ST ST APT 8B, NEW YORK, NY 10033-4559
(212) 740-0457

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
120841
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01010379
NY
Enumeration date
01/02/2007
Last updated
07/08/2007
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