Individual
DR. CAMERON L GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT, LAC, FAAOMPT
Contact information
Practice address
56 W 39TH ST, APT 5, NEW YORK, NY 10018-3824
(646) 590-7199
(646) 455-0143
Mailing address
237 W 11TH ST APT 5A, NEW YORK, NY 10014-2211
(212) 594-3170
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
006342
NY
225100000X
Physical Therapist
030551
NY
2251S0007X
Sports Physical Therapist
030551
NY
2251X0800X
Orthopedic Physical Therapist
Primary
030551
NY
Other
Enumeration date
08/04/2009
Last updated
09/22/2019
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