Individual
ANGEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 CEDAR ST, ONEIDA, NY 13421-2111
(315) 280-0400
Mailing address
165 MAIN ST. STE A, CORTLAND, NY 13045
(607) 753-0234
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-5319
NY
Other
Enumeration date
09/22/2021
Last updated
12/01/2021
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