Individual
EVELYN GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5942
Mailing address
2847 W 19TH ST, BROOKLYN, NY 11224-2580
(646) 256-8444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008969
NY
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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