Individual
ASHANTI GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
327 W 43RD ST, NEW YORK, NY 10036-6406
(212) 333-5445
Mailing address
327 W 43RD ST, NEW YORK, NY 10036-6406
(212) 333-5445
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
956037
NY
164W00000X
Licensed Practical Nurse
345357-01
NY
Other
Enumeration date
12/15/2022
Last updated
09/14/2024
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