Individual
MR. JORGE A GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1402 CASTLE HILL AVE, BRONX, NY 10462-4809
(718) 824-3595
(718) 824-4404
Mailing address
63 MAPLE DR W, NEW HYDE PARK, NY 11040-3154
(516) 270-3781
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1744P3200X
NY
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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