Individual
ALEXA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 BILTMORE AVE, ELMONT, NY 11003-1541
(347) 200-4644
Mailing address
300 BILTMORE AVE, ELMONT, NY 11003-1541
(347) 200-4644
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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