Individual
MS. CHERYL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 SOUTH AVE, STATEN ISLAND, NY 10314-3409
(718) 761-1529
Mailing address
1000 SOUTH AVE, STATEN ISLAND, NY 10314-3409
(718) 761-1529
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
620695121
NY
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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