Individual
GERARDO ANTONIO GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12360 83RD AVE APT 2A, KEW GARDENS, NY 11415-3447
(917) 648-9437
Mailing address
12360 83RD AVE APT 2A, KEW GARDENS, NY 11415-3447
(917) 648-9437
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
033064
NY
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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