Individual
MR. DANIEL M GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-4382
Mailing address
1045 RICHMOND RD, STATEN ISLAND, NY 10304-2401
(718) 351-2201
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4313-1
NY
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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