Individual
CRAIG GONZALES SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
534 CENTER ST, LEWISTON, NY 14092-1608
(716) 754-8966
Mailing address
534 CENTER ST, LEWISTON, NY 14092-1608
(716) 754-8966
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
015591
NY
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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