Individual
MS. OLGA BEATRIZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC., MSTOM
Contact information
Practice address
200 W 16TH ST, #3F, NEW YORK, NY 10011-6165
(212) 989-6345
Mailing address
200 W 16TH ST, #3F, NEW YORK, NY 10011-6165
(212) 989-6345
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004276
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171100000X
PROVIDER IDENTIFICATION CODE
—
Enumeration date
03/07/2011
Last updated
03/07/2011
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