Individual
ANA GOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 S MIDLER AVE, SYRACUSE, NY 13206-2918
(315) 382-4840
Mailing address
208 S MIDLER AVE, SYRACUSE, NY 13206-2918
(315) 382-4840
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
026053
NY
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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