Individual
MISS JOHANNA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
73 BARRYMORE BLVD, FRANKLIN SQUARE, NY 11010-1606
(347) 468-2893
Mailing address
73 BARRYMORE BLVD, FRANKLIN SQUARE, NY 11010-1606
(347) 468-2893
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
F352055-01
NY
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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