Individual
DALIA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIAL EDUCATION ED
Contact information
Practice address
2114 24TH ST, ASTORIA, NY 11105-3355
(917) 843-7576
Mailing address
2114 24TH ST, ASTORIA, NY 11105-3355
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2197241
NY
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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