Individual
ANGELIS GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1448 5TH AVE, BAY SHORE, NY 11706-4147
(631) 309-6900
Mailing address
6 EQUINE LN, SAINT JAMES, NY 11780-3517
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NY
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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