Organization
AAG NP SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIRIO ALFONSO GONZALEZ NP (OWNER)
(718) 490-4293
Entity
Organization
Contact information
Practice address
309 CORNELL DR, LAKE WORTH BEACH, FL 33460-6207
(718) 490-4293
Mailing address
309 CORNELL DR, LAKE WORTH BEACH, FL 33460-6207
(718) 490-4293
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246153
—
NY
Enumeration date
12/17/2019
Last updated
12/17/2019
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