Individual
STEPHANIE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 N DIVISION ST, PEEKSKILL, NY 10566-2944
(917) 557-1465
Mailing address
22 N DIVISION ST, PEEKSKILL, NY 10566-2944
(914) 630-2600
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
061191-01
NY
Other
Enumeration date
06/03/2019
Last updated
12/05/2023
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