Individual
KATHARINE ANN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 CROOKED HILL RD, BRENTWOOD, NY 11717-1039
(631) 231-3232
Mailing address
286 BRETTONWOODS DR, CORAM, NY 11727-3686
(631) 576-6412
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
332396-01
NY
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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