Individual
CASSANDRA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5141 BROADWAY, NEW YORK, NY 10034-1159
(646) 873-0577
Mailing address
5141 BROADWAY, NEW YORK, NY 10034-1159
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
766102
NY
363LF0000X
Family Nurse Practitioner
Primary
F351496-01
NY
Other
Enumeration date
03/22/2019
Last updated
03/07/2024
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