Individual
ROSA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
114- 06 QUEENS BLVD, SUITE 1G, FOREST HILLS, NY 11375
(718) 275-5512
(718) 275-5509
Mailing address
114- 06 QUEENS BOULEVARD, SUITE 1G, FOREST HILLS, NY 11375
(718) 275-5512
(718) 275-5509
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003752
NY
Other
Enumeration date
03/31/2007
Last updated
07/07/2010
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