Individual
MR. ROBERT GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8208 91ST AVE, WOODHAVEN, NY 11421-2922
(917) 498-7013
Mailing address
8208 91ST AVE, WOODHAVEN, NY 11421-2922
(917) 498-7013
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006841
NY
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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