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Individual

ANA CAROLINA GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
31 CERONE PL, NEWBURGH, NY 12550
(845) 857-8646
Mailing address
4202 CLARK ST, NEW WINDSOR, NY 12553-8277
(347) 336-4005

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0226061
NY
225XP0019X
Physical Rehabilitation Occupational Therapist
0226061
NY

Other

Enumeration date
11/13/2018
Last updated
02/08/2021
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