Individual
CRISTINA ANA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
76 SPLIT CEDAR DR, ISLANDIA, NY 11749-1615
(631) 697-6532
Mailing address
76 SPLIT CEDAR DR, ISLANDIA, NY 11749-1615
(631) 697-6532
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
325517-1
NY
Other
Enumeration date
06/04/2017
Last updated
07/21/2022
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