Individual
DR. MARISOL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5610 - 2ND AVENUE, BROOKLYN, NY 11220
(718) 630-6976
(718) 492-5090
Mailing address
5610 - 2ND AVENUE, BROOKLYN, NY 11220
(718) 630-6976
(718) 492-5090
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
257931
NY
2080A0000X
Pediatric Adolescent Medicine Physician
25MA09361300
NJ
Other
Enumeration date
12/13/2010
Last updated
10/23/2014
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